NPI 1205494416

Jackson Hospital and Clinic, INC.

Organisation Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Montgomery, AL

Practice location

Address: 1722 Pine St STE 503, Montgomery, AL 36106-1160
Phone: (334) 293-8736
Fax: (334) 293-8738
Mailing address: 1722 Pine St STE 804, Montgomery, AL 36106-1108

Authorised official

Name: Kelin Penney
Title: Executive Director
Phone: (334) 240-2335

Registered specialties

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2088F0040X

Other Urology providers in Alabama →

Registry record

NPI: 1205494416
Entity type: Organization
NPI issued: 3 Jun 2019
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.