# MARSHALL MEDICAL CENTER SOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARSHALL MEDICAL CENTER SOUTH
- **Other names:** Albertville Primary Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1326116880
- **Legal business name:** MARSHALL MEDICAL CENTER SOUTH
- **Authorized official:** DR. GARY ALAN CALHOUN MD (PHYSICIAN)
- **Authorized official phone:** (256) 894-7795

## Contact information

- **Practice address:** 2505 US HWY 431, BOAZ, AL 35957
- **Practice address phone:** (256) 894-7795
- **Practice address fax:** (256) 894-6471
- **Mailing address:** PO BOX 11407, DEPT \#1557, BIRMINGHAM, AL 35246-1557
- **Mailing address phone:** (256) 894-7795
- **Mailing address fax:** (256) 894-6471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15304 | AL | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 12/18/2012