Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Parent organization
JACKSON HOSPITAL AND CLINIC, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON HOSPITAL AND CLINIC, INC
Authorized official
MELODY COWDREY (DIRECTOR-PATIENT FINANCIAL SERVICES)
(334) 293-8147
Entity
Organization
Contact information
Practice address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Mailing address
1725 PINE ST, MONTGOMERY, AL 36106-1109
(334) 293-8000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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