Organization
MARSHALL MEDICAL CENTER SOUTH PEDIATRIC HOSPITAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKY R HICKS (PRACTICE MANAGEMENT)
(256) 891-3144
Entity
Organization
Contact information
Practice address
227 BRITTANY RD, GUNTERSVILLE, AL 35976-5766
(256) 891-3144
(256) 878-1742
Mailing address
227 BRITTANY RD, GUNTERSVILLE, AL 35976-5766
(256) 891-3144
(256) 878-1742
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
AL
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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