Individual
MRS. SANDRA LEE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 787-6635
Mailing address
637 MARIE ST, TALBOTT, TN 37877-8525
(716) 940-7660
Taxonomy
Speciality
Code
Description
License number
State
2279G1100X
General Care Registered Respiratory Therapist
Primary
RRT0000003773
TN
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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