Organization
JACKSON HOSPITAL AND CLINIC, INC
Active
Other names
Jackson Family Medicine Pine Level
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
2175 US HIGHWAY 31 N, DEATSVILLE, AL 36022-2714
(334) 568-2120
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
03/09/2026
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