| NPI | 1952949968 |
|---|---|
| Doing Business As | JACKSON CLINIC PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-240-2337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2019-12-20 |
| Last Update Date | 2019-12-20 |