NPI 1386021822

Marshall Medical Center South Burson Urology

Organisation Urology Physician Boaz, AL

Practice location

Address: 2525 US Highway 431 Suite 150, Boaz, AL 35957-5971
Phone: (256) 840-4855
Fax: (256) 840-4854

Authorised official

Name: Kathy B Nelson
Title: Cfo
Phone: (256) 840-4855

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Alabama →

Registry record

NPI: 1386021822
Entity type: Organization
NPI issued: 5 May 2015
Record last updated: 20 May 2015

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.