Individual
NATHAN ANDREW LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
Mailing address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
004250
GA
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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