MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY NPI 1386021822

NPI Information

MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY is an urology in Boaz, AL. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MARSHALL MEDICAL CENTER SOUTH BURSON UROLOGY NPI is 1386021822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2525 US HIGHWAY 431
SUITE 150
BOAZ, AL
ZIP 35957-971
Phone: (256) 840-4855
Fax: (256) 840-4854

The provider's authorized official is Kathy B Nelson .
The authorized official title is Cfo and has the following contact phone number (256) 840-4855.

The CLIA number assigned to this NPI record is 01D0303624 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/5/2015 and was last updated on 5/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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