Individual
MS. CAROLINE GRACE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
465 N BELAIR RD STE 2E, EVANS, GA 30809-3190
(706) 855-5510
(706) 855-7254
Mailing address
465 N BELAIR RD STE 2E, EVANS, GA 30809-3190
(706) 855-5510
(706) 855-7254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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