Individual
DR. DONALD LOUIS LONGHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S., D.C.
Contact information
Practice address
911 N TENNESSEE ST, STE 105, CARTERSVILLE, GA 30120-8514
(678) 995-8475
Mailing address
2 SHADOW LN, CARTERSVILLE, GA 30120-2321
(678) 525-8583
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008261
GA
111NS0005X
Sports Physician Chiropractor
CHIR008261
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102822
ASHN
GA
01
—
11844411
CAQH
GA
01
—
52238714-001
BCBS-GA
GA
01
—
8251342
CIGNA
GA
01
—
9966131
AETNA
GA
Enumeration date
10/23/2007
Last updated
12/12/2015
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