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Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson Clinic Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
4154 CARMICHAEL RD, MONTGOMERY, AL 36106-2866
(334) 271-5959
(334) 272-8775
Mailing address
1722 PINE ST STE 203, MONTGOMERY, AL 36106-1158
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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