Individual
MRS. SAMMIE I. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1817 SPRING BROOK CT, MOBILE, AL 36609-2587
(251) 666-5939
(615) 837-6449
Mailing address
1817 SPRING BROOK CT, MOBILE, AL 36609-2587
(251) 666-5939
(615) 837-6449
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4451
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119516
—
MS
01
—
16-10378
UNITED HEALTHCARE
AL
01
—
51003709
BCBS
AL
01
—
51533359
BCBS
AL
Enumeration date
06/02/2006
Last updated
07/08/2007
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