| Sallie Martin Long, | |
|
1120 15th St, Augusta, GA 30912-1002 | |
| (706) 721-8623 | |
| (706) 721-1459 |
| Full Name | Sallie Martin Long |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology - Plastic Surgery Within The Head & Neck |
| Location | 1120 15th St, Augusta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548788482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | ME159941 (Florida) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 98473 (Georgia) | Primary |
| Entity Name | University Of Miami |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013967827 PECOS PAC ID: 3274795109 Enrollment ID: O20200406001006 |
| Mailing Address | Practice Location Address |
|---|---|
| Sallie Martin Long, 1120 15th St # Or6000, Augusta, GA 30912-0004 Ph: (706) 721-3813 | Sallie Martin Long, 1120 15th St, Augusta, GA 30912-1002 Ph: (706) 721-8623 |
Dr. William H Moretz, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 204, Augusta, GA 30901 Phone: 706-724-0668 Fax: 706-724-1124 | |
Dr. Hachem Jammal, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4400 | |
Abigail Albritton Massey, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St # Bp4109, Augusta, GA 30912 Phone: 706-721-6100 | |
Forest Weir, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459 | |
Lillian Marie Day, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-6100 | |
Sophia Beatriz Quinones, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-0211 | |
Dr. Brandon Tapasak, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 1120 15th Street Bp-4109, Augusta, GA 30912 Phone: 706-721-6100 |