Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson Clinic Vascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1725 PARK PL, SUITE 300-A, MONTGOMERY, AL 36106-1123
(334) 293-8000
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 270-9914
(334) 270-3195
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
03/09/2026
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