# MD SEA TO SEA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518870849
- **Authorized official:** DR. BRYAN LONG MD, MPH (PRESIDENT)
- **Authorized official phone:** (760) 809-4267

## Contact information

- **Practice address:** 2055 N MOUNT JULIET RD STE 100, MT JULIET, TN 37122-4287
- **Practice address phone:** (760) 809-4267
- **Practice address fax:** (858) 500-1812
- **Mailing address:** 819 N BRAGG AVE, LOOKOUT MOUNTAIN, TN 37350-1003
- **Mailing address phone:** (760) 809-4267
- **Mailing address fax:** (858) 500-1812

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/26/2026
- **Last updated:** 09/26/2026