Individual
CAROLINE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-7804
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(678) 690-7804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-155511
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1155511
AL
Other
Enumeration date
05/02/2022
Last updated
05/23/2022
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