OrganizationActive
Jackson Hospital and Clinic, Inc
NPI 1306447958 · Colon & Rectal Surgery Physician · Montgomery, AL
Provider details
- NPI number
- 1306447958
- Entity type
- Organization
- Primary specialty
- Colon & Rectal Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tara Herring, Revenue Cycle Director(334) 293-8736
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1722 Pine St Ste 402
Montgomery, AL 36106-1159
Phone: (334) 293-8736
Fax: (334) 293-8738
Approximate (ZIP-level) locationGet directions
Mailing address
1722 Pine St Ste 203
Montgomery, AL 36106-1158
Other names (DBA / former)
- Doing business as
- Jackson Clinic Colorectal Surgery
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2020-11-02
- Certified
- 2020-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.