Jackson Hospital and Clinic, Inc.

NPI #1073264107 in Montgomery, Alabama

Provider Information

NPI Number: 1073264107
Entity Type: Organization
Organization Name: Jackson Hospital and Clinic, Inc.
Primary Specialty: Emergency Medicine
Enumeration Date: Jan 11, 2022
Last Updated: Feb 24, 2023

Practice Location

Address: 1725 PINE ST
City: Montgomery
State: Alabama
ZIP Code: 36106-1117
Phone: (334) 293-8147

Authorized Official

Name: MELODY COWDREY
Title: DIRECTOR-REVENUE CYCLE INTEGRATION
Phone: (334) 293-8147

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X
Nurse Practitioner	363L00000X
Emergency Medicine	207P00000X	Primary

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