Individual
DOUGLAS L LONG
Active
Individual
DOUGLAS L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC DACNB
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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