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Organization

JACKSON HOSPITAL AND CLINIC, INC

Active
Other names
Jackson Vascular Surgery Troy
Organization subpart
No

Provider details

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

Contact information

Practice address
1340 HIGHWAY 231 S STE 2, TROY, AL 36081-3012
(334) 293-8922
(334) 293-6820
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
08/13/2021
Last updated
03/09/2026
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