Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Hospital and Clinic Inc

Organization Vascular Surgery Physician · NPI 1588011746

Jackson Hospital and Clinic Inc is a Vascular Surgery Physician in Montgomery, Alabama. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1801 Pine St Ste 101
Montgomery, AL 36106-0165
Phone: (334) 293-8922
Fax: (334) 293-6820
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X

Record details

NPI number1588011746
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Administrator · (334) 240-2335
Other names Jackson Vascular Surgery
NPI enumeratedMay 18, 2016
Last updated in NPPESMay 18, 2016
Mailing address1722 Pine St, Suite 503, Montgomery, AL 36106-1103

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