| NPI | 1841736683 |
|---|---|
| Doing Business As | JACKSON CLINIC GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-02-13 |