Provider Demographics
NPI:1053756809
Name:JONES, SARA LONG (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:LONG
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 PROVIDENCE PARK DR E STE 101
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-4618
Mailing Address - Country:US
Mailing Address - Phone:251-378-3900
Mailing Address - Fax:
Practice Address - Street 1:610 PROVIDENCE PARK DR E STE 101
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695
Practice Address - Country:US
Practice Address - Phone:251-378-3900
Practice Address - Fax:251-378-3902
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL33902207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine