Organization · Type 2 NPI

Jackson Hospital & Clinic, Inc.

Surgery Physician · Montgomery, AL

NPI number 1215464300 Active

Practice location

1801 Pine St Ste 101
Montgomery, AL 36106-1154

Fax (334) 293-6820

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1215464300

Jackson Hospital & Clinic, Inc.'s National Provider Identifier is 1215464300, issued on May 19, 2017. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.