Individual
DR. JEREMY P LONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1612 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6206
(865) 982-7162
Mailing address
1612 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-6206
(865) 982-7162
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
EMT0000026653
TN
183500000X
Pharmacist
0000023925
TN
Other
Enumeration date
05/11/2006
Last updated
09/11/2025
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