| NPI | 1831513787 |
|---|---|
| Doing Business As | JACKSON CLINIC GENERAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RITZUS Administrator 334-293-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-03-05 |