Organization
JACKSON HOSPITAL AND CLINIC, INC
Active
Other names
JACKSON FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD C SCHOLL (CHIEF FINANCIAL OFFICER)
(334) 293-8000
Entity
Organization
Contact information
Practice address
1801 PINE ST, SUITE 301, MONTGOMERY, AL 36106-0165
(334) 265-5577
(334) 265-5584
Mailing address
2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
04/10/2013
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