Organization · Type 2 NPI

Jackson Hospital & Clinic, Inc.

Otolaryngology Physician · Montgomery, AL

NPI number 1720599012 Active

Practice location

1111 Olive St
Montgomery, AL 36106-1129

Fax (334) 241-9848

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000XNone listed

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

4 other providers at this address

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About NPI 1720599012

Jackson Hospital & Clinic, Inc.'s National Provider Identifier is 1720599012, issued on Oct 13, 2017. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Montgomery, AL. The record was last updated on Mar 9, 2026.