Individual
CELESTE S LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7691 POPLAR AVE, GERMANTOWN, TN 38138-3904
(901) 516-1290
(901) 516-1220
Mailing address
1211 UNION AVE STE 330, MEMPHIS, TN 38104-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27117
MS
207R00000X
Internal Medicine Physician
Primary
MD21442
TN
208M00000X
Hospitalist Physician
21442
TN
208M00000X
Hospitalist Physician
27117
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066752
—
TN
01
—
4045056
BCBS OF TN
TN
Enumeration date
07/13/2006
Last updated
10/09/2025
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