MEDICARE: ALABAMA SPORTS, SPINE & OCCUPATIONAL MEDICINE ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1740576610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALABAMA SPORTS, SPINE & OCCUPATIONAL MEDICINE ASSOCIATES PC

Provider Business Mailing Address
First Line	:	242 WINTON BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3501
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	242 WINTON BLOUNT LOOP
Second Line	:
City	:	MONTGOMERY
State	:	AL
Zip	:	36117-3501
Country	:	US
Telephone Number	:	319-350-2208
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MICHAEL DONIAL JACKSON
Credential	:	MD
Telephone Number	:	319-350-2208

Provider Enumeration Date	:	06/20/2011
Last Update Date	:	06/21/2011

Similar Medicare Providers

1891721528 — INNERFIT EAST, LLC
Practice Location Address:

242 WINTON M BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-279-5015
Practice Fax: 334-279-5028

1740216324 — WILLIAM J DUBOSE DMD PA
Practice Location Address:

210 WINTON M BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-271-0805
Practice Fax: 334-271-1957

1013927714 — LAURIE APPLEGATE RPT
Practice Location Address:

242 WINTON M BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-279-5015
Practice Fax: 334-279-5028

1316034259 — DR. ANDREW DAVID HSIA MD
Practice Location Address:

242 WINTON BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-384-1141
Practice Fax: 334-472-8065

1912121989 — S MARK MERIWETHER DMD LLC
Practice Location Address:

252 WINTON M BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-271-4544
Practice Fax: 334-271-7172

1992973408 — ALABAMA ORTHOPAEDICS AND SPORTS MEDICINE ASSOC
Practice Location Address:

242 WINTON M BLOUNT LOOP
MONTGOMERY, AL
36117-3501

Practice Phone: 334-395-5800
Practice Fax: 334-395-5880

Directions to “ALABAMA SPORTS, SPINE & OCCUPATIONAL MEDICINE ASSOCIATES PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.