Individual
DR. ZACHARY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3211 PEOPLES ST STE 55, JOHNSON CITY, TN 37604-4109
(423) 328-5189
(423) 952-4953
Mailing address
3211 PEOPLES ST STE 55, JOHNSON CITY, TN 37604-4109
(423) 328-5189
(423) 952-4953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002745
VA
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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