NPI 1003078270

Marshall County Pediatrics, PC

Organisation Specialist Boaz, AL

Practice location

Address: 2525 US Highway 431 STE 104, Boaz, AL 35957-5934
Phone: (256) 571-8969
Fax: (256) 571-8980
Mailing address: 45 Medical Park Dr Suite B, Guntersville, AL 35976-6999

Authorised official

Name: Vicky Hicks
Title: Practice Management
Phone: (256) 891-5102

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6719 (AL)

Other Specialist providers in Alabama →

Registry record

NPI: 1003078270
Entity type: Organization
NPI issued: 30 Jun 2008
Record last updated: 30 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.