Individual
MORGAN C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
870 AUSTIN DR STE A, DEMOREST, GA 30535-4585
(706) 229-4233
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT003241
GA
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
11/07/2018
Last updated
07/12/2023
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