Libby A. Long MD

NPI 1083608764 - Pediatrics - 208000000X

NPI Details
NPI 1083608764
Gender Female
Enumeration Date 09/08/2005
Last Updated 06/10/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
1370 GATEWAY BLVD.
SUITE 110
MURFREESBORO TN, 37129, US
Phone (615) 890-9008
Fax (615) 890-0193
Business Location
1370 GATEWAY BLVD.
SUITE 110
MURFREESBORO TN, 37129, US
Phone (615) 890-0641
Fax (615) 890-0193
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036-112878
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According to our database, Dr. Libby A. Long MD NPI is 1083608764, taxonomy code is 208000000X and license number is 036-112878, license state is located at Illinois. Libby A. Long MD physically located at 1370 Gateway Blvd., Murfreesboro TN, 37129. NPI Number Libby A. Long MD has the Individual type.

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1083608764 NPI number is provided on an as is basis without warranty of any kind. 1083608764 is maintained by the National Plan & Provider Enumeration System. The contents of Libby A. Long MD are for informational purposes only.