Organization
TRACE CROSSINGS FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES H MARSHALL MD (PRESIDENT)
(205) 987-0005
Entity
Organization
Contact information
Practice address
118 MARS HILL RD, HOOVER, AL 35244-3904
(205) 987-0005
(205) 987-0065
Mailing address
118 MARS HILL RD, HOOVER, AL 35244-3904
(205) 987-0005
(205) 987-0065
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14054
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51500656
BCBS PROVIDER NUMBER
AL
Enumeration date
10/27/2006
Last updated
08/22/2020
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