Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jackson Hospital and Clinic Inc

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1407387848

Jackson Hospital and Clinic Inc provides Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician services in Montgomery, Alabama. Registered with an NPI since 2017.

In the registry since
2017
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

1758 Park Pl Ste 202
Montgomery, AL 36106-1127
Phone: (334) 264-7156
Fax: (334) 264-7681
Show map & directions

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

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X

Record details

NPI number1407387848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelin Penney — Executive Director · (334) 240-2335
Other names Jackson Clinic Cardiothoracic Surgery
NPI enumeratedMarch 27, 2017
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1722 Pine St Ste 804, Montgomery, AL 36106-1108

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