| 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 |