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Individual
WILLIAM LONG
Active
Individual
WILLIAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
18019
NC
207Q00000X
Family Medicine Physician
Primary
7218019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8952800
—
NC
01
—
CN8132
MEDICARE RAILROAD
NC
Enumeration date
01/11/2006
Last updated
03/07/2023
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