Individual
DR. CHRISTINA S LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
131 MILLER ST, WINSTON SALEM, NC 27103-2508
(336) 716-0572
(336) 716-8018
Mailing address
WAKE FOREST BAPTIST HEALTH, MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0572
(336) 716-8018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
571
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5917629
—
NC
Enumeration date
02/27/2009
Last updated
06/12/2013
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