Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Other names
Jackson Family Medicine Midtown
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
4150 CARMICHAEL RD STE B, MONTGOMERY, AL 36106-2933
(334) 293-8282
(334) 293-8286
Mailing address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
04/07/2020
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