OrganizationActive
Jackson Hospital & Clinic, Inc.
NPI 1720599012 · Otolaryngology Physician · Montgomery, AL
Provider details
- NPI number
- 1720599012
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Kelin Penney, Executive Director
Practice location
1111 Olive St
Montgomery, AL 36106-1129
Phone: (334) 834-7221
Fax: (334) 241-9848
Mailing address
1722 Pine St Ste 804
Montgomery, AL 36106-1108
Registry dates
- Enumerated
- 2017-10-13
- 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.