Individual
JIM THOMAS LONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 RIVERVIEW ST, FRANKLIN, NC 28734-2612
(828) 369-4185
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(517) 787-6440
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32532
NC
Other
Enumeration date
06/28/2006
Last updated
07/15/2010
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