Individual
DR. ADEWOLE COLLINS LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
(225) 761-5654
Mailing address
9001 SUMMA AVE, BATON ROUGE, LA 70809-3726
(225) 761-5200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
200569
LA
2084N0400X
Neurology Physician
74843
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720925
—
LA
Enumeration date
12/05/2006
Last updated
09/18/2020
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