Organization
JACKSON HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA H THOMPSON P.A. (PHYSICIAN ASSISTANT)
(334) 293-8660
Entity
Organization
Contact information
Practice address
1722 PINE ST, 11TH FLOOR, MONTGOMERY, AL 36106-1103
(334) 293-8000
(334) 264-7842
Mailing address
1722 PINE ST, 11TH FLOOR, MONTGOMERY, AL 36106-1103
(334) 293-8000
(334) 264-7842
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
PA88
AL
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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