Organization · Type 2 NPI

Jackson Hospital & Clinic, Inc.

Urology Physician · Tallassee, AL

NPI number 1013433820 Active

Practice location

80 Herren Hill Rd Ste C
Tallassee, AL 36078-1264

Fax (334) 293-6978

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Urology Physician Primary 208800000XNone listed

Urology Physician: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

3 other providers at this address

About NPI 1013433820

Jackson Hospital & Clinic, Inc.'s National Provider Identifier is 1013433820, issued on Aug 15, 2017. The primary taxonomy on file is Urology Physician (208800000X), and the practice location is in Tallassee, AL. The record was last updated on Mar 9, 2026.