Individual
MELISSA ANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 RIVERSIDE PKWY STE 207, LAWRENCEVILLE, GA 30043-5926
(678) 646-0404
Mailing address
1493 LECHEMIN DR, SNELLVILLE, GA 30078-6791
(470) 273-1699
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN226768
GA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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