Organization
JACKSON GENERAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
101 HOSPITAL DR, LUVERNE, AL 36049-7344
(334) 293-6858
(334) 293-6859
Mailing address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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