Organization
JACKSON HOSPITAL AND CLINIC, INC
Active
Other names
Alabama Plastic and Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 293-8736
Entity
Organization
Contact information
Practice address
128 MITYLENE PARK LN, MONTGOMERY, AL 36117-3758
(334) 373-3611
(334) 241-9848
Mailing address
1722 PINE ST STE 203, MONTGOMERY, AL 36106-1158
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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