Individual
CORTNEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 AQUADALE LN, WINSTON SALEM, NC 27104-1404
(336) 577-2793
Mailing address
4130 AQUADALE LN, WINSTON SALEM, NC 27104-1404
(336) 577-2793
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129-000088
VA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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