NPI 1053844654

Jackson Hospital and Clinic INC.

Organisation Urology Physician Wetumpka, AL

Practice location

Address: 515 Hospital Dr Suite a, Wetumpka, AL 36092-1626
Phone: (334) 293-8588
Fax: (334) 293-6978
Mailing address: 1722 Pine St Suite 503, Montgomery, AL 36106-1103

Authorised official

Name: Tara Herring
Title: Revenue Cycle Director
Phone: (334) 240-2337

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Alabama →

Registry record

NPI: 1053844654
Entity type: Organization
NPI issued: 10 Apr 2017
Record last updated: 10 Apr 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.