Jackson Clinic Multispecialty Wetumpka

NPI #1295351963 in Wetumpka, Alabama

Provider Information

NPI Number: 1295351963
Entity Type: Organization
Organization Name: Jackson Clinic Multispecialty Wetumpka
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2020
Last Updated: Jun 18, 2020

Practice Location

Address: 277 HUNTRESS ST
City: Wetumpka
State: Alabama
ZIP Code: 36092-3329
Phone: (334) 293-8736

Authorized Official

Name: TARA HERRING
Title: REVENUE CYCLE DIRECTOR
Phone: (334) 240-2337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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