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Organization
MD SEA TO SEA PC
Active
Organization
MD SEA TO SEA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN LONG MD, MPH (PRESIDENT)
(760) 809-4267
Entity
Organization
Contact information
Practice address
2055 N MOUNT JULIET RD STE 100, MT JULIET, TN 37122-4287
(760) 809-4267
(858) 500-1812
Mailing address
819 N BRAGG AVE, LOOKOUT MOUNTAIN, TN 37350-1003
(760) 809-4267
(858) 500-1812
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/26/2026
Last updated
09/26/2026
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