Organization · Type 2 NPI

Jackson Hospital and Clinic Inc.

Cardiovascular Disease Physician · Montgomery, AL

NPI number 1194261669 Active

Practice location

1758 Park Pl, Suite 402
Montgomery, AL 36106-1127

Fax (334) 293-6843

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1194261669

Jackson Hospital and Clinic Inc.'s National Provider Identifier is 1194261669, issued on Jan 9, 2017. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.