Individual
DR. LESLIE S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(912) 303-4200
Mailing address
1139 LEXINGTON AVE, SAVANNAH, GA 31404-5502
(803) 312-2700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14018
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
14018
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
14018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028878
RR MEDICARE
SC
01
—
140181
SELECT HEALTH
SC
05
—
140181
—
SC
01
—
2001349
CCP
SC
01
—
4357094
AETNA
SC
01
—
77893
MEDCOST
SC
Enumeration date
10/16/2006
Last updated
09/23/2024
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