Organization
DIGESTIVE DISORDERS AND LIVER DISEASE ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CECILY DENISE JACKSON (PRACTICE MANAGER)
(334) 265-3140
Entity
Organization
Contact information
Practice address
1501 FOREST AVE, MONTGOMERY, AL 36106-1539
(334) 265-3140
(334) 265-3150
Mailing address
PO BOX 5033, MONTGOMERY, AL 36103-5033
(334) 265-3140
(334) 265-3150
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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