Organization
JACKSON CLINIC MULTISPECIALTY WETUMPKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
277 HUNTRESS ST, WETUMPKA, AL 36092-3329
(334) 293-8736
(334) 293-8738
Mailing address
1722 PINE ST STE 203, MONTGOMERY, AL 36106-1158
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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