Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Other names
Jackson Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (ADMINISTRATOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1801 PINE STREET, SUITE 103, MONTGOMERY, AL 36106-1160
(334) 293-8888
(334) 293-8154
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2011
Last updated
03/09/2026
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