Individual
DR. PARKER BRIAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1315 JESSE JEWELL PKWY NE STE 200, GAINESVILLE, GA 30501-3821
(770) 219-9300
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
88019
GA
390200000X
Student in an Organized Health Care Education/Training Program
0102203975
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/09/2013
Last updated
07/29/2021
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