Healthcare Provider Details

I. General information

NPI: 1457978736
Provider Name (Legal Business Name): YOLANDA MARSHALL DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5511 HIGHWAY 280 STE 118
BIRMINGHAM AL
35242-1505
US

IV. Provider business mailing address

4101 CHARLOTTE AVE STE F185
NASHVILLE TN
37209-4066
US

V. Phone/Fax

Practice location:
  • Phone: 205-980-2005
  • Fax: 205-980-6889
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number412
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number412
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: