Provider Demographics
NPI:1023403995
Name:NEWMAN, ELIZABETH ALLISON LONG (MD)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ALLISON LONG
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ALLISON
Other - Last Name:LONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:644 2ND ST NE STE 206
Mailing Address - Street 2:
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-8823
Mailing Address - Country:US
Mailing Address - Phone:205-620-9065
Mailing Address - Fax:205-620-9051
Practice Address - Street 1:644 2ND ST NE STE 206
Practice Address - Street 2:
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-8823
Practice Address - Country:US
Practice Address - Phone:205-620-9065
Practice Address - Fax:205-620-9051
Is Sole Proprietor?:No
Enumeration Date:2015-03-30
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL35579208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery