# OPEN MRI OF MARSHALL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sand Mountain Open MRI LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033173687
- **Authorized official:** PETER O HOLLIDAY III MD (DIRECTOR)
- **Authorized official phone:** (478) 474-2360

## Contact information

- **Practice address:** 12119 US HWY 431 SOUTH, GUNTERSVILLE, AL 35976
- **Practice address phone:** (256) 894-4440
- **Practice address fax:** (256) 894-4474
- **Mailing address:** PO BOX 4003, MACON, GA 31208
- **Mailing address phone:** (478) 755-9966
- **Mailing address fax:** (478) 755-9964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2006
- **Last updated:** 11/28/2007
