Individual
DR. SUSANNAH QUISLING LONGMUIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
593 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3414
(615) 885-4900
(615) 885-4719
Mailing address
593 STEWARTS FERRY PIKE, NASHVILLE, TN 37214-3414
(615) 885-4900
(615) 885-4719
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
37041
IA
207W00000X
Ophthalmology Physician
Primary
MD0000046118
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55963
WELLMARK BCBS
IA
Enumeration date
04/26/2007
Last updated
11/11/2014
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