| NPI | 1992518468 |
|---|---|
| Other Name | DME JACKSON |
| Entity Type | Organization |
| Authorized Contact | RAY SAUNDERS Practice Administrator 901-237-6408 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-04-07 |