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JACKSON HOSPITAL AND CLINIC INC NPI 1164803367


NPI Information

NPI: 1164803367
Provider Name: JACKSON HOSPITAL AND CLINIC INC

Doing Business As: JACKSON UROLOGY EAST

Classification: Urology - 208800000X
Entity Type: Organization
Address:
226 MITYLENE PARK DR
MONTGOMERY, AL
ZIP 36117
Phone: (334) 281-7666
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JACKSON HOSPITAL AND CLINIC INC is an urology in Montgomery, AL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. JACKSON HOSPITAL AND CLINIC INC NPI is 1164803367. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jackson Urology East.

The provider's business location address is:

226 MITYLENE PARK DR
MONTGOMERY, AL
ZIP 36117-548
Phone: (334) 281-7666
Fax: (334) 293-6859

The provider's authorized official is Kelin Penney .
The authorized official title is Administrator and has the following contact phone number (334) 240-2337.

The enumeration date for this NPI number is 6/12/2015 and was last updated on 5/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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