Organization
SOUTHERN FAMILY MEDICINE
Active
Parent organization
MARSHALL MEDICAL CENTER SOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL MEDICAL CENTER SOUTH
Authorized official
MRS. TRACI STEWART (DIRECTOR)
(256) 840-4571
Entity
Organization
Contact information
Practice address
2367 US HIGHWAY 431, BOAZ, AL 35957-5910
(256) 840-4571
(256) 840-4534
Mailing address
P.O. BOX 11407, DEPT# 2069, BIRMINGHAM, AL 35246-2069
(256) 840-4571
(256) 840-4534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30193
AL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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