OrganizationActive
Jackson Hospital and Clinic Inc.
NPI 1376097089 · Infectious Disease Physician · Montgomery, AL
Provider details
- NPI number
- 1376097089
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kelin Penney, Administrator
Practice location
1722 Pine St Ste 801
Montgomery, AL 36106-1108
Phone: (334) 293-6871
Fax: (334) 293-6872
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2026-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.