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Organization

JACKSON HOSPITAL AND CLINIC, INC.

Active
Other names
Jackson OBGYN Dr. Glenn Saucer
Organization subpart
No

Provider details

NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization

Contact information

Practice address
1722 PINE ST STE 603, MONTGOMERY, AL 36106-1114
(334) 264-2422
(334) 264-9294
Mailing address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 293-8736
(334) 293-8736

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary

Other

Enumeration date
10/22/2018
Last updated
10/22/2018
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