NPI 1518423284

Jackson General Surgery

Organisation Surgery Physician Luverne, AL

Practice location

Address: 101 Hospital Dr, Luverne, AL 36049-7344
Phone: (334) 293-6858
Fax: (334) 293-6859
Mailing address: 1722 Pine St STE 503, Montgomery, AL 36106-1160

Authorised official

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

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X

Other Surgery providers in Alabama →

Registry record

NPI: 1518423284
Entity type: Organization
NPI issued: 18 Feb 2019
Record last updated: 18 Feb 2019

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.