NPI 1164803367

Jackson Hospital and Clinic INC

Organisation Urology Physician Montgomery, AL

Practice location

Address: 226 Mitylene Park Dr, Montgomery, AL 36117-3548
Phone: (334) 281-7666
Fax: (334) 293-6859
Mailing address: 1722 Pine St STE 804, Montgomery, AL 36106-1108

Authorised official

Name: Kelin Penney
Title: Administrator
Phone: (334) 240-2337

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Alabama →

Registry record

NPI: 1164803367
Entity type: Organization
NPI issued: 12 Jun 2015
Record last updated: 9 Mar 2026

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.