Organization
LONG PRIMARY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CELEST S LONG M.D. (OWNER)
(901) 761-6157
Entity
Organization
Contact information
Practice address
6263 POPLAR AVE, SUITE 1052, MEMPHIS, TN 38119-4701
(901) 761-6157
(901) 761-4145
Mailing address
PO BOX 1000, DEPT 183, MEMPHIS, TN 38148-0183
(901) 761-6157
(901) 761-4145
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2006
Last updated
04/28/2008
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