Individual
CONSTANCE SABRINA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
912 W COLLEGE ST, PULASKI, TN 38478-3630
(931) 424-9797
(931) 424-9788
Mailing address
326 N LOCUST AVE, STE B, LAWRENCEBURG, TN 38464-3516
(931) 762-9797
(931) 762-9798
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2040
TN
Other
Enumeration date
03/05/2012
Last updated
02/17/2020
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