| NPI | 1760770754 |
|---|---|
| Doing Business As | JACKSON CLINIC UROLOGY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: AL MD.31014) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2018-06-16 |