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MARSHALL MEDICAL CENTER SOUTH NPI 1780776633


NPI Information

NPI: 1780776633
Provider Name: MARSHALL MEDICAL CENTER SOUTH

Doing Business As: MASDON ENT PRACTICE

Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Address:
704 MEDICAL CENTER PARKWAY
BOAZ, AL
ZIP 35957
Phone: (256) 593-7266
Get Directions

MARSHALL MEDICAL CENTER SOUTH is an otolaryngology in Boaz, AL. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. MARSHALL MEDICAL CENTER SOUTH NPI is 1780776633. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Masdon Ent Practice.

The provider's business location address is:

704 MEDICAL CENTER PARKWAY
BOAZ, AL
ZIP 35957
Phone: (256) 593-7266
Fax: (256) 840-9833

The provider's authorized official is Gary R Gore .
The authorized official title is Ceo and has the following contact phone number (256) 593-8310.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/22/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology10383ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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