Individual
MR. STEPHEN N LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
783 DOCTORS CT, ROXBORO, NC 27573-4575
(336) 599-3212
(336) 598-6025
Mailing address
PO BOX 1058, ROXBORO, NC 27573-1058
(336) 598-6036
(336) 598-6025
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
30403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8952674
—
NC
Enumeration date
04/11/2006
Last updated
02/12/2011
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