Marshall Surgical Clinic, PC
Organization Active NPI Surgery Physician · Boaz, AL
NPI 1154472397 · NPPES record last updated Feb 17, 2012
Key facts
- NPI
- 1154472397
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgery Physician 208600000X
- Legal business name
- MARSHALL SURGICAL CLINIC, PC
- Practice address
- 2525 US Highway 431
Suite 170
Boaz, AL 35957-5934 - Phone
- (256) 593-1611
- Fax
- (256) 840-4596
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Douglas Wayne Clink, M.D.
- Title
- President
- Phone
- (256) 593-1611
Practitioners 2
-
Douglas Wayne Clink, M.D.
-
Cynthia Lyn Monk, M.D.
National Provider Directory
Locations
1939 Patterson St
Ste 102
Guntersville, AL 35976
Phone (225) 930-0060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician |
208600000X | Yes |
Addresses
Primary practice location
2525 US Highway 431
Suite 170
Boaz, AL 35957-5934
Mailing address
2525 US Highway 431
Suite 170
Boaz, AL 35957-5934
Phone (256) 593-1611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528800440 | Medicaid | AL |
Other providers in Boaz, AL
- Marshall Medical Center South
- Marshall Medical Center South Burson Urology
- Marshall Medical Center South Diamond Hospital Services
- Marshall Medical Center South Medical Oncology Services
- Marshall Radiology PC
- Marshall Urology & Continence Center, PC
- Thomas Richard Martin Jr.
- Maury B Bray III
- William John Ed MC Cord Jr.
- James Francis McAllister
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.