Individual
MARTINE H LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
515 CORNERSTONE ST, LYNCHBURG, VA 24502-5342
(937) 545-5771
Mailing address
515 CORNERSTONE ST, LYNCHBURG, VA 24502-5342
(937) 545-5771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101270031
VA
208D00000X
General Practice Physician
0101270031
VA
Other
Enumeration date
07/28/2020
Last updated
05/03/2023
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