Organization
JACKSON HOSPITAL AND CLINIC INC
Active
Other names
Jackson Clinic General Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RITZUS (ADMINISTRATOR)
(334) 293-6745
Entity
Organization
Contact information
Practice address
7201 COPPERFIELD DR, MONTGOMERY, AL 36117-7101
(334) 244-5868
(334) 244-5882
Mailing address
1722 PINE ST, STE 503, MONTGOMERY, AL 36106-1103
(334) 244-5868
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/13/2014
Last updated
03/05/2014
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