Organization
JACKSON HOSPITAL AND CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
2024 CHESTNUT ST, MONTGOMERY, AL 36106-1111
(334) 293-8000
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
03/09/2026
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