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Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Clinic Cardiothoracic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1758 PARK PL, SUITE 202, MONTGOMERY, AL 36106-1127
(334) 264-7156
(334) 264-7681
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/09/2026
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