Individual
DOUGLAS L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DACNB
Contact information
Practice address
4515 HARDING PIKE, SUITE 110, NASHVILLE, TN 37205-2118
(615) 269-5558
(615) 269-5973
Mailing address
4515 HARDING PIKE, SUITE 110, NASHVILLE, TN 37205-2118
(615) 269-5558
(615) 269-5973
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
DC0000002223
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1670129
MEDICARE
TN
Enumeration date
03/03/2006
Last updated
11/30/2010
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