Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson Clinic Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
4154 CARMICHAEL RD, MONTGOMERY, AL 36106-2866
(334) 271-5959
(334) 272-8775
Mailing address
1722 PINE ST STE 203, MONTGOMERY, AL 36106-1158
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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