Individual
DR. BRANDI LA'SHELLE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
547 W CHURCH ST, WAL-MART VISION CENTER, LEXINGTON, TN 38351-1703
(731) 450-0120
(731) 968-5595
Mailing address
9 BASCOM RD, JACKSON, TN 38305-8800
(731) 267-0040
(731) 427-7657
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2546
TN
Other
Enumeration date
04/11/2007
Last updated
06/03/2016
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