Marshall Medical Center South

NPI #1780776633 in Boaz, Alabama

Provider Information

NPI Number: 1780776633
Entity Type: Organization
Organization Name: Marshall Medical Center South
Primary Specialty: Otolaryngology
Enumeration Date: Sep 29, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 704 MEDICAL CENTER PARKWAY
City: Boaz
State: Alabama
ZIP Code: 35957
Phone: (256) 593-7266

Authorized Official

Name: MR. GARY R GORE
Title: CEO
Phone: (256) 593-8310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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