# MARSHALL MEDICAL CENTER SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALL MEDICAL CENTER SOUTH
- **Other names:** Willis Surgical
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003136896
- **Legal business name:** MARSHALL MEDICAL CENTER SOUTH
- **Authorized official:** MRS. KATHY B. NELSON CPA (CFO)
- **Authorized official phone:** (256) 894-6600

## Contact information

- **Practice address:** 133 WALL ST, ALBERTVILLE, AL 35951-9300
- **Practice address phone:** (256) 840-5547
- **Mailing address:** 133 WALL ST, ALBERTVILLE, AL 35951-9300
- **Mailing address phone:** (256) 840-5547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2010
- **Last updated:** 06/03/2010