Individual
DR. DAVID ANTONIO LONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(678) 216-0771
Mailing address
950 BRICKELL BAY DR, APT 1804, MIAMI, FL 33131-3931
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
262131
MA
207L00000X
Anesthesiology Physician
Primary
90070
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN17815
FL
Other
Enumeration date
06/25/2012
Last updated
11/23/2022
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