Individual
DR. TIMOTHY E LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-6970
Mailing address
8010 STAGE HILLS BLVD, BARTLETT, TN 38133-4032
(901) 291-2400
(901) 379-0771
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22014
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068840
—
TN
Enumeration date
08/02/2005
Last updated
12/28/2007
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