Organization
MARSHALL MEDICAL CENTER SOUTH
Active
Other names
Medical Center OBGYN
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYLOR M WALKER (CFO)
(256) 894-6600
Entity
Organization
Contact information
Practice address
2525 US HIGHWAY 431, 210, BOAZ, AL 35957-5934
(256) 840-4601
(256) 840-4613
Mailing address
2525 US HIGHWAY 431, 210, BOAZ, AL 35957-5934
(256) 840-4601
(256) 840-4613
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28483
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114948270
NPI INDIVIDUAL
AL
Enumeration date
10/21/2008
Last updated
03/14/2019
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