Organization
JACKSON HOSPITAL AND CLINIC INC.
Active
Other names
Jackson Clinic Urology DME
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RITZUS (VICE PRESIDENT PHYSICIAN SERVICES)
(334) 240-2337
Entity
Organization
Contact information
Practice address
1722 PINE ST, SUITE 502, MONTGOMERY, AL 36106-1103
(334) 240-2337
(334) 293-6859
Mailing address
1722 PINE ST, SUITE 502, MONTGOMERY, AL 36106-1103
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
08/22/2016
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