Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marshall Medical Center South

Organization Certified Registered Nurse Anesthetist · NPI 1861663874

Marshall Medical Center South provides Certified Registered Nurse Anesthetist services in Boaz, Alabama. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

2505 US Hwy 431N
Boaz, AL 35957-0758
Phone: (256) 593-8310
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1861663874
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMarshall Medical Center South
Authorized official Gary Gore — Ceo · (256) 593-7266
NPI enumeratedMarch 18, 2008
Last updated in NPPESAugust 17, 2018
Mailing addressPo Box 758, Boaz, AL 35957-0758

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