Organization
BRIAN K LONG MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN K LONG MD (OWNER)
(704) 872-2350
Entity
Organization
Contact information
Practice address
211 S CENTER ST, SUITE 217-A, STATESVILLE, NC 28677-5873
(704) 872-2350
(704) 872-2351
Mailing address
211 S CENTER ST, SUITE 217-A, STATESVILLE, NC 28677-5873
(704) 872-2350
(704) 872-2351
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
200500391
NC
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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