Individual
GEORGE NELSON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 305-9112
Mailing address
4536 HAVERTY DR, KNOXVILLE, TN 37931-3657
(865) 363-5765
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
0000083817
TN
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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