Individual
DR. BRIAN K LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3315 SPRINGBANK LN, SUITE NUMBER 302, CHARLOTTE, NC 28226-3197
(704) 540-5566
(704) 540-5664
Mailing address
3315 SPRING BANK LANE SUITE 302, CHARLOTTE, NC 28226
(704) 540-5566
(704) 540-5664
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901922
—
NC
Enumeration date
11/01/2006
Last updated
01/11/2008
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