Individual
DIANNE LONG-MORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6721
Mailing address
65 MARION CT NE, LUDOWICI, GA 31316-7596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN197352
GA
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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