Organization
SHOALS UROLOGICAL ASSOCIATES PC
Active
Parent organization
SHOALS UROLOGICAL ASSOCIATES PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOALS UROLOGICAL ASSOCIATES PC
Authorized official
MRS. DEANNA M LONGMIRE (INSURANCE)
(256) 381-2628
Entity
Organization
Contact information
Practice address
607 GANDY ST NE, RUSSELLVILLE, AL 35653-1911
(256) 381-2628
(256) 386-5551
Mailing address
1015 S JACKSON HWY, SHEFFIELD, AL 35660-5760
(256) 381-2628
(256) 386-5551
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
10/09/2007
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