Organization · Type 2 NPI

Jackson Hospital and Clinic, Inc.

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Montgomery, AL

NPI number 1205494416 Active

Practice location

1722 Pine St Ste 503
Montgomery, AL 36106-1160

Fax (334) 293-8738

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Other practice locations

  • 7150 Halcyon Park Dr, Montgomery, AL 36117-7713 · (334) 293-8736
  • 2030 Lay Dam Rd, Clanton, AL 35045-8344 · (334) 293-8736

Specialties and licenses

TaxonomyCodeLicense
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician Primary 2088F0040XNone listed

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures nec…

4 other providers at this address

About NPI 1205494416

Jackson Hospital and Clinic, Inc.'s National Provider Identifier is 1205494416, issued on Jun 3, 2019. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (2088F0040X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.