Individual
DR. LIBBY A. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1370 GATEWAY BLVD., SUITE 110, MURFREESBORO, TN 37129
(615) 890-9008
(615) 890-0193
Mailing address
1370 GATEWAY BLVD., SUITE 110, MURFREESBORO, TN 37129
(615) 890-0641
(615) 890-0193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036-112878
IL
208000000X
Pediatrics Physician
Primary
MD0000041089
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036112878
—
IL
05
—
5440829
—
TN
Enumeration date
09/08/2005
Last updated
06/10/2014
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