Individual
AUBREY L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9031 VALLEY CREST LN, GERMANTOWN, TN 38138-7829
(901) 757-2020
(901) 234-0133
Mailing address
9031 VALLEY CREST LN, GERMANTOWN, TN 38138-7829
(901) 757-2020
(901) 234-0133
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3529
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3529
TN LICENSE
TN
Enumeration date
07/07/2019
Last updated
07/07/2019
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