Individual
FELICIA NICOLE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 E EXMORE ST STE D, CHARLOTTE, NC 28217-1808
(704) 606-2966
Mailing address
15497 DONNINGTON DR, CHARLOTTE, NC 28277-1678
(704) 606-2966
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
04/15/2019
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