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Individual

AMY LOVE LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2018 W CLINCH AVENUE, KNOXVILLE, TN 37916-2301
(865) 523-5437
(865) 246-7566
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2350
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1533450
TN
Enumeration date
07/12/2013
Last updated
01/22/2025
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