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NPI 1740909258 · live from the CMS NPI Registry

Jackson Hospital & Clinic, INC.

Internal Medicine in Montgomery, AL. National Provider Identifier 1740909258, active.

NPI record

NPI1740909258 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1725 Pine St, Montgomery, AL 36106
Practice phone334-293-8000
Mailing address1725 Pine Street, Attn: Business Office, Montgomery, AL 36106
EnumeratedAugust 26, 2022
Last updatedAugust 26, 2022
Authorized officialMelody Cowdrey, Director-Revenue Cycle Integratiion

Taxonomies and licenses

TaxonomyCodeLicense
Family Medicine207Q00000X—
Internal Medicine, Endocrinology, Diabetes & Metabolism207RE0101X—
Internal Medicine, Gastroenterology207RG0100X—
Internal Medicine, Interventional Cardiology207RI0011X—
Internal Medicine, Rheumatology207RR0500X—
Nuclear Medicine, Nuclear Cardiology207UN0901X—
Obstetrics & Gynecology207V00000X—
Otolaryngology207Y00000X—
Pediatrics208000000X—
Plastic Surgery208200000X—
Psychiatry & Neurology, Neurology2084N0400X—
Surgery208600000X—
2086S0129X—
Urology208800000X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.