# JACKSON HOSPITAL AND CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DONALD A. MARSHALL, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104981380
- **Authorized official:** MR. PETER VERRECCHIA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (334) 293-8000

## Contact information

- **Practice address:** 1801 PINE ST, SUITE 204, MONTGOMERY, AL 36106-0165
- **Practice address phone:** (334) 263-4277
- **Mailing address:** 1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
- **Mailing address phone:** (334) 270-9914
- **Mailing address fax:** (334) 270-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 04/10/2013
