Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Organization
JACKSON HOSPITAL & CLINIC, INC.
Active
Other names
Jackson Clinic Gastro Ste 406
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1722 PINE ST STE 406, MONTGOMERY, AL 36106-1159
(334) 293-6825
(334) 293-6826
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
02/20/2018
Last updated
03/09/2026
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