# JACKSON HOSPITAL AND CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jackson Clinic Endocrinology, Basil O. Burney, M.D.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710265905
- **Authorized official:** KELIN PENNEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (334) 240-2335

## Contact information

- **Practice address:** 1801 PINE ST, SUITE 203, MONTGOMERY, AL 36106-0165
- **Practice address phone:** (334) 293-8877
- **Practice address fax:** (334) 293-6803
- **Mailing address:** 1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
- **Mailing address phone:** (334) 270-9914
- **Mailing address fax:** (334) 270-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MD.30788 | AL | Yes |

## Other

- **Enumeration date:** 07/22/2011
- **Last updated:** 03/09/2026
