Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Other names
Jackson Clinic Urology Wetumpka
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
515 HOSPITAL DR, SUITE A, WETUMPKA, AL 36092-1626
(334) 293-8588
(334) 293-6978
Mailing address
1722 PINE ST, SUITE 503, MONTGOMERY, AL 36106-1103
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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