Organization
MARSHALL RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA DRISKILL MD (PRESIDENT)
(706) 271-0100
Entity
Organization
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 840-3688
Mailing address
PO BOX 1164, DALTON, GA 30722-1164
(706) 271-0100
(706) 270-0487
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529918000
—
AL
01
—
DA4610
RR MEDICARE
AL
Enumeration date
06/23/2006
Last updated
06/21/2016
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