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Organization

MARSHALL MEDICAL CENTER SOUTH

Active
Parent organization
MARSHALL MEDICAL CENTER SOUTH
Other names
Albertville Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
MARSHALL MEDICAL CENTER SOUTH
Authorized official
DR. GARY ALAN CALHOUN MD (PHYSICIAN)
(256) 894-7795
Entity
Organization

Contact information

Practice address
2505 US HWY 431, BOAZ, AL 35957
(256) 894-7795
(256) 894-6471
Mailing address
PO BOX 11407, DEPT #1557, BIRMINGHAM, AL 35246-1557
(256) 894-7795
(256) 894-6471

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15304
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
J340
MEDICARE GROUP
AL
Enumeration date
12/01/2006
Last updated
12/18/2012
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