Individual
AMY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 CARMICHAEL CT N, MONTGOMERY, AL 36106-2874
(334) 747-2273
Mailing address
301 BROWN SPRINGS RD, MONTGOMERY, AL 36117-7005
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-095524
AL
Other
Enumeration date
06/27/2019
Last updated
01/13/2025
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