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Organization

SHOALS EAR NOSE & THROAT GROUP PC

Active
Other names
F Allen Long MD
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA LONG (ADMINISTRATOR)
(256) 386-7040
Entity
Organization

Contact information

Practice address
421 COX BLVD, SHEFFIELD, AL 35660
(256) 386-7040
(256) 383-7808
Mailing address
421 COX BLVD, SHEFFIELD, AL 35660
(256) 386-7040
(256) 383-7808

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10880
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51011662
BCBS AL
AL
Enumeration date
11/01/2006
Last updated
08/22/2020
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