| NPI | 1659879633 |
|---|---|
| Other Name | JACKSON CLINIC GASTROENTEROLOGY PRATTVILLE |
| Entity Type | Organization |
| Authorized Contact | KELIN PENNEY Administrator 334-240-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |