OrganizationActive
Jackson Hospital and Clinic Inc
NPI 1679946610 · Neurological Surgery Physician · Montgomery, AL
Provider details
- NPI number
- 1679946610
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kelin Penney, Executive Director(334) 240-2335
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1722 Pine St Ste 402
Montgomery, AL 36106-1159
Phone: (334) 293-8082
Fax: (334) 293-8088
Approximate (ZIP-level) locationGet directions
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Other names (DBA / former)
- Doing business as
- Jackson Neurology
- Doing business as
- Jackson Neurology
Registry dates
- Enumerated
- 2015-11-12
- Last updated
- 2026-03-09
- Certified
- 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.