Individual
JEAN V LONGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6195 HEARDS CREEK DR NW, ATLANTA, GA 30328-3653
(404) 843-3913
Mailing address
6195 HEARDS CREEK DR NW, ATLANTA, GA 30328-3653
(404) 843-3913
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
30640
GA
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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