| NPI | 1861827297 |
|---|---|
| Doing Business As | JACKSON FAMILY MEDICINE PIKE ROAD |
| Entity Type | Organization |
| Authorized Contact | KELIN PENNEY Administrator 334-240-2335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2019-05-21 |