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Individual

SEBASTIAN C TAPIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
304 PARKS AVE, SCOTTSBORO, AL 35768-2412
(256) 259-4218
(256) 259-2589
Mailing address
304 PARKS AVE, SCOTTSBORO, AL 35768-2412
(256) 259-4218
(256) 259-2589

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9107
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-32842
BLUE CROSS BLUE SHIELD
AL
Enumeration date
07/19/2006
Last updated
07/08/2007
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