Organization · Type 2 NPI

Jackson Hospital and Clinic Inc

Cardiovascular Disease Physician · Tallassee, AL

NPI number 1891156469 Active

Practice location

115 Herren Hill Rd
Tallassee, AL 36078-1276

Call (334) 264-9191 Map

Fax (334) 264-9199

Mailing address

1722 Pine St Ste 804
Montgomery, AL 36106-1108

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician Primary 207RC0000XNone listed

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

8 other providers at this address

About NPI 1891156469

Jackson Hospital and Clinic Inc's National Provider Identifier is 1891156469, issued on Mar 10, 2016. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Tallassee, AL. The record was last updated on Mar 9, 2026.