Organization
JACKSON HOSPITAL AND CLINIC, INC
Active
Other names
Jackson Clinic Endocrinology Suite 204
Organization subpart
No
Provider details
NPI number
Authorized official
KELIN PENNEY (EXECUTIVE DIRECTOR)
(334) 240-2335
Entity
Organization
Contact information
Practice address
1801 PINE ST STE 204, MONTGOMERY, AL 36106-1154
(334) 293-8877
(334) 293-6803
Mailing address
1722 PINE ST STE 804, MONTGOMERY, AL 36106-1108
(334) 293-8736
(334) 293-8738
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
03/09/2026
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