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1427252253
SHOALS UROLOGICAL ASSOCIATES PC
RUSSELLVILLE, AL
NPI
1427252253
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Entity Type
Organization
Authorized Contact
DEANNA M LONGMIRE
Insurance
256-381-2628
Organization Subpart ?
Yes
Primary Taxonomy
208800000X Urology
Enumeration Date
2007-06-14
Last Update Date
2007-10-09
Business Address
SHOALS UROLOGICAL ASSOCIATES PC
607 GANDY ST NE
RUSSELLVILLE, AL 35653-1911
Phone number: 256-381-2628
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Mailing Address
SHOALS UROLOGICAL ASSOCIATES PC
1015 S JACKSON HWY
SHEFFIELD, AL 35660-5760
Phone number: 256-381-2628
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