Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson Family Medicine- Prattville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA C. HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
701 MCQUEEN SMITH RD S, PRATTVILLE, AL 36066-7503
(334) 351-2040
(334) 351-2047
Mailing address
1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/09/2013
Last updated
03/24/2016
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