# MONTGOMERY ANESTHESIA ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Hospital and Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043281553
- **Authorized official:** TIMOTHY DOLES MD (PRESIDENT)
- **Authorized official phone:** (334) 293-8008

## Contact information

- **Practice address:** 1725 PINE ST, MONTGOMERY, AL 36106-1109
- **Practice address phone:** (334) 293-8059
- **Mailing address:** PO BOX 106090, ATLANTA, GA 30348-6090
- **Mailing address phone:** (334) 513-1173
- **Mailing address fax:** (855) 999-1345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 09/02/2025