Individual
DR. CHRISTINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1975 HIGHWAY 54 WEST, SUITE 150, FAYETTEVILLE, GA 30214
(770) 486-5000
Mailing address
1975 HIGHWAY 54 WEST, SUITE 150, FAYETTEVILLE, GA 30214
(770) 486-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037855
GA
Other
Enumeration date
10/05/2006
Last updated
05/24/2018
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