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Organization

MARSHALL MEDICAL CENTER SOUTH

Active
Other names
South Emergency Physicians
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS RUSH (PRESIDENT)
(256) 894-6745
Entity
Organization

Contact information

Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957
(256) 593-8310
Mailing address
PO BOX 11407, DEPT 2079, BIRMINGHAM, AL 35246-2079
(866) 313-5260
(205) 313-5245

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135643
AL
05
558200290
AL
Enumeration date
09/23/2011
Last updated
12/03/2024
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