Individual
DR. BEN G LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9388
(662) 293-1000
Mailing address
1144 PEACHTREE ST, CORINTH, MS 38834-2327
(662) 284-5056
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LL39688
SC
Other
Enumeration date
06/07/2016
Last updated
06/29/2021
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