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MASDON ENT PRACTICE
NPI 1780776633
Otolaryngology in Boaz, AL

Active since September 29, 2006
704 MEDICAL CENTER PARKWAY, BOAZ, AL 35957(256) 593-7266(256) 840-9833 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Masdon Ent Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASDON ENT PRACTICE (NPI 1780776633) is a healthcare organization registered as an otolaryngology in Boaz, Alabama and active in the NPI registry since September 2006. The organization lists Gary R Gore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780776633
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameMARSHALL MEDICAL CENTER SOUTH
Location Address704 MEDICAL CENTER PARKWAYBoaz, AL 35957
Mailing Address704 Medical Center ParkwayBoaz, AL 35957 · (256) 593-7266 · Fax (256) 840-9833
Phone(256) 593-7266
Fax(256) 840-9833
Organization SubpartNo
Authorized OfficialGary R GoreCeo · (256) 593-8310
Enumeration DateSeptember 29, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1780776633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in AL · 10383
Definition
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.
704 MEDICAL CENTER PARKWAY, Boaz, AL 35957
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Other Names 1

Doing Business AsMasdon Ent Practice

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marshall Medical Center South's NPI number?

The NPI number for Marshall Medical Center South is 1780776633. It was assigned to this organization in the NPPES registry on September 29, 2006. The provider is doing business as Masdon Ent Practice.

Where is Marshall Medical Center South located?

Marshall Medical Center South is located at 704 Medical Center Parkway, Boaz, AL 35957. The listed phone number is (256) 593-7266.

What is Marshall Medical Center South's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Marshall Medical Center South was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.