Organization · Type 2 NPI

Jackson Hospital and Clinic Inc

Surgery Physician · Montgomery, AL

NPI number 1407300304 Active

Practice location

1722 Pine St, Suite 904
Montgomery, AL 36106-1103

Call (334) 265-9225 Map

Fax (334) 265-9257

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XMD.11082 (AL)

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 1407300304

Jackson Hospital and Clinic Inc's National Provider Identifier is 1407300304, issued on Aug 9, 2016. 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.