Individual
DR. CLAYTON VANCE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 319-5821
Mailing address
501 S SHARON AMITY RD STE 300, CHARLOTTE, NC 28211-0035
(704) 377-2424
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2022-01635
NC
207P00000X
Emergency Medicine Physician
202201635
NC
Other
Enumeration date
03/27/2019
Last updated
05/20/2025
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