| NPI | 1720599012 |
|---|---|
| Doing Business As | JACKSON CLINIC OTOLARYNGOLOGY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-06-16 |