| NPI | 1992377873 |
|---|---|
| Doing Business As | JACKSON CLINIC ENDOCRINOLOGY SUITE 204 |
| Entity Type | Organization |
| Authorized Contact | TARA HERRING Revenue Cycle Director 334-293-8736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |