Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Other names
Jackson Physician Readings
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD F. MANN (DIRECTOR OF REVENUE CYCLE)
(334) 293-8112
Entity
Organization
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
04/05/2010
Last updated
11/17/2016
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