Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Parent organization
JACKSON HOSPITAL AND CLINIC INC
Other names
Jackson Urology East, Jackson Urology
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL AND CLINIC INC
Authorized official
KELIN PENNEY (ADMINISTRATOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
226 MITYLENE PARK DR, MONTGOMERY, AL 36117-3548
(334) 281-7666
(334) 293-6859
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/12/2015
Last updated
03/09/2026
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