Individual
MRS. BETH R LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4022 LIBERTY ST, MILAN, TN 38358-3453
(731) 686-7004
(731) 686-7078
Mailing address
4022 LIBERTY ST, MILAN, TN 38358
(731) 686-7004
(731) 686-7078
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13077
TN
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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