# MARSHALL MEDICAL CENTER SOUTH DBA MMC RADIOLOGIST

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770872145
- **Authorized official:** ANGELA PATTERSON (VP)
- **Authorized official phone:** (423) 903-6796

## Contact information

- **Practice address:** 4198 US HIGHWAY 431, SUITE B, ALBERTVILLE, AL 35950-0238
- **Practice address phone:** (256) 891-1226
- **Mailing address:** DEPT 0406, PO BOX 11407, BIRMINGHAM, AL 35246-0406
- **Mailing address phone:** (423) 903-6796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 5834 | AL | Yes |

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 04/06/2011