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Organization

JACKSON HOSPITAL AND CLINIC, INC

Active
Other names
Jackson Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization

Contact information

Practice address
1801 PINE ST, SUITE 301, MONTGOMERY, AL 36106-0165
(334) 293-5778
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 270-9914

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/10/2008
Last updated
03/09/2026
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