Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson Clinic Multispecialty Prattville
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1840 E MAIN ST, PRATTVILLE, AL 36066-5500
(334) 293-8736
(334) 293-8738
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
03/09/2026
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