Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Hospital and Clinic Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RITZUS (ADMINISTRATOR)
(334) 293-8000
Entity
Organization
Contact information
Practice address
1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
(334) 239-8000
(334) 239-8000
Mailing address
1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/17/2013
Last updated
01/17/2013
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