Organization
JACKSON HOSPITAL AND CLINIC, INC.
Active
Other names
Jackson General Surgery Dr. Randal Sedlak Ste 503
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HERRING (REVENUE CYCLE DIRECTOR)
(334) 240-2337
Entity
Organization
Contact information
Practice address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 264-8741
(334) 264-2216
Mailing address
1722 PINE ST STE 503, MONTGOMERY, AL 36106-1160
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
06/16/2018
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