Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Vascular Surgery Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELIN PENNEY (ADMINISTRATOR JACKSON CLINIC)
(334) 240-2335
Entity
Organization
Contact information
Practice address
44 MEDICAL ARTS CT, GREENVILLE, AL 36037-3869
(334) 293-8922
(334) 293-6820
Mailing address
1722 PINE ST, SUITE 503, MONTGOMERY, AL 36106-1103
(334) 240-2337
(334) 293-6859
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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