Individual
JEFFREY WAYNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
42320 HIGHWAY 195, HALEYVILLE, AL 35565
(205) 486-8899
(205) 486-8908
Mailing address
42320 HIGHWAY 195, HALEYVILLE, AL 35565
(205) 486-8899
(205) 486-8908
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-532
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51530976
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/04/2006
Last updated
07/08/2007
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