Individual
CHANDLER LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(919) 684-3848
Mailing address
DUMC 3538, DURHAM, NC 27710
(919) 684-3848
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
073588
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2007
Last updated
05/21/2021
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