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Organization

JACKSON HOSPITAL AND CLINIC, INC

Active
Other names
JACKSON INPATIENT SERVICES
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD C SCHOLL (CHIEF FINANCIAL OFFICER)
(334) 293-8000
Entity
Organization

Contact information

Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
(334) 270-9914

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
07/13/2006
Last updated
04/10/2013
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