Organization
LONGLEAF PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RENEE DAVIS (ADMINISTRATOR)
(256) 237-1624
Entity
Organization
Contact information
Practice address
171 TOWN CENTER DR, ANNISTON, AL 36205-4102
(256) 237-1624
Mailing address
PO BOX 5430, ANNISTON, AL 36205-0430
(256) 237-1624
(256) 241-2277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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