| NPI | 1689679169 |
|---|---|
| Doing Business As | PNI DBA JACKSONVILLE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JULIAN DALE CALHOON Medical Director 501-985-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2022-07-21 |