Organization · Type 2 NPI

Jackson Hospital and Clinic Inc

Neurological Surgery Physician · Montgomery, AL

NPI number 1679946610 Active

Practice location

1722 Pine St Ste 402
Montgomery, AL 36106-1159

Fax (334) 293-8088

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

2 other providers at this address

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About NPI 1679946610

Jackson Hospital and Clinic Inc's National Provider Identifier is 1679946610, issued on Nov 12, 2015. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.