Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Urology East Troy
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
13240 HWY 231 S, SUITE 1, TROY, AL 36081
(334) 281-7666
(334) 281-2822
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
03/09/2026
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