Organization
MARSHALL MEDICAL CENTER SOUTH
Active
Parent organization
MARSHALL MEDICAL CENTER SOUTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARSHALL MEDICAL CENTER SOUTH
Authorized official
GARY R GORE (CEO)
(256) 593-7266
Entity
Organization
Contact information
Practice address
2505 US HWY 431N, BOAZ, AL 35957-0758
(256) 593-8310
Mailing address
PO BOX 758, BOAZ, AL 35957-0758
(256) 593-8310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/18/2008
Last updated
08/17/2018
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