Organization
MARSHALL MEDICAL CENTER NORTH JONES PEDIATRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY R HICKS (DIRECTOR - PM)
(256) 891-3144
Entity
Organization
Contact information
Practice address
45 MEDICAL PARK DR, B, GUNTERSVILLE, AL 35976-5766
(256) 571-8969
(256) 571-8980
Mailing address
227 BRITTANY RD, GUNTERSVILLE, AL 35976-5766
(256) 891-3144
(256) 878-1742
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26482
AL
Other
Enumeration date
08/10/2007
Last updated
04/20/2008
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