Individual
BRITTANY LONG III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E HILL AVE, KNOXVILLE, TN 37915-2566
(865) 633-9844
Mailing address
900 E HILL AVENUE, KNOXVILLE, TN 39715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3013231
—
TN
01
—
3697678
MEDICARE
TN
Enumeration date
07/03/2008
Last updated
07/03/2008
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