NPI 1407387848
Jackson Hospital and Clinic INC
Practice location
- Address
- 1758 Park Pl Suite 202, Montgomery, AL 36106-1127
- Phone
- (334) 264-7156
- Fax
- (334) 264-7681
- 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
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Registry record
- NPI
- 1407387848
- Entity type
- Organization
- NPI issued
- 27 Mar 2017
- 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.