Organization
SOUTHERN NP ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP CODY LONG (VICE PRESIDENT/CFO)
(205) 391-3600
Entity
Organization
Contact information
Practice address
931 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 391-3600
Mailing address
931 FAIRFAX PARK, TUSCALOOSA, AL 35406-2805
(205) 391-3600
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/09/2014
Last updated
02/24/2020
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