Jackson Hospital & Clinic, Inc.
NPI #1316447063 in Montgomery, Alabama
Provider Information
- NPI Number
- 1316447063
- Entity Type
- Organization
- Organization Name
- Jackson Hospital & Clinic, Inc.
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- Feb 20, 2018
- Last Updated
- Oct 23, 2023
Practice Location
- Address
- 1722 PINE ST STE 406
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36106-1159
- Phone
- (334) 293-6825
Authorized Official
- Name
- SHALICIA WALKER
- Title
- ENROLLMENT & CREDENTIALING COORD.
- Phone
- (334) 293-8736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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