Organization
MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY
Active
Parent organization
MARSHALL MEDICAL CENTER SOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL MEDICAL CENTER SOUTH
Authorized official
MRS. KATHY B NELSON (CFO)
(256) 840-4855
Entity
Organization
Contact information
Practice address
2525 US HIGHWAY 431, SUITE 150, BOAZ, AL 35957-5971
(256) 840-4855
(256) 840-4854
Mailing address
2525 US HIGHWAY 431, SUITE 150, BOAZ, AL 35957-5971
(256) 840-4855
(256) 840-4854
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/20/2015
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