Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson General Surgery Dr. Wesley Barry
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (ADMINISTRATOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1722 PINE ST, SUITE 904, MONTGOMERY, AL 36106-1103
(334) 265-9225
(334) 265-9257
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD.11082
AL
Other
Enumeration date
08/09/2016
Last updated
03/09/2026
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