Kathleen A Long MD

NPI 1043215403 - Specialist - 174400000X

NPI Details
NPI 1043215403
Gender Female
Enumeration Date 06/14/2005
Last Updated 07/30/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
144 BILL CARRUTH PKWY
SUITE 3100
HIRAM GA, 30141-3749, US
Phone (678) 363-1940
Fax (678) 581-7110
Business Location
531 ROSELANE ST NW
SUITE 710
MARIETTA GA, 30060-6913, US
Phone (678) 331-3302
Fax (678) 581-7187
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 038549
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According to our database, Dr. Kathleen A Long MD NPI is 1043215403, taxonomy code is 174400000X and license number is 038549, license state is located at Georgia. Kathleen A Long MD physically located at 144 Bill Carruth Pkwy, Hiram GA, 30141-3749. NPI Number Kathleen A Long MD has the Individual type.

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1043215403 NPI number is provided on an as is basis without warranty of any kind. 1043215403 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen A Long MD are for informational purposes only.