NPI 1306447958

Jackson Hospital and Clinic, INC

Organisation Colon & Rectal Surgery Physician Montgomery, AL

Practice location

Address: 1722 Pine St STE 402, Montgomery, AL 36106-1159
Phone: (334) 293-8736
Fax: (334) 293-8738
Mailing address: 1722 Pine St STE 203, Montgomery, AL 36106-1158

Authorised official

Name: Tara Herring
Title: Revenue Cycle Director
Phone: (334) 293-8736

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Alabama →

Registry record

NPI: 1306447958
Entity type: Organization
NPI issued: 2 Nov 2020
Record last updated: 2 Nov 2020

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.