Organization
MARSHALL MEDICAL CENTER SOUTH MANGANARIS PULMONOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN L GUNN (ADMINISTRATOR)
(256) 753-8810
Entity
Organization
Contact information
Practice address
55 ROWE DR, SUITE C, GUNTERSVILLE, AL 35976-7366
(256) 753-8810
(256) 753-8880
Mailing address
55 ROWE DR, SUITE C, GUNTERSVILLE, AL 35976-7366
(256) 753-8810
(256) 753-8880
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD30912
AL
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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