NPI | 1659506004 |
---|---|
Doing Business As | JACK L. MAULDIN, MD |
Entity Type | Organization |
Authorized Contact | JACK L. MAULDIN President 205-786-5527 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: AL 6455) |
Enumeration Date | 2009-05-28 |
Last Update Date | 2009-05-28 |