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
MS. KATHY B NELSON CPA (CHIEF FINANCIAL OFFICER)
(256) 894-6600
Entity
Organization
Contact information
Practice address
2505 US HWY 431 N, BOAZ, AL 35957
(256) 593-8310
Mailing address
2505 US HWY 431 N, BOAZ, AL 35957
(256) 593-8310
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
282N00000X
General Acute Care Hospital
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
558200290
—
AL
Enumeration date
07/02/2008
Last updated
07/02/2008
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