Individual
DR. EDISON L ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1009 CHARITY ST, ABBEVILLE, LA 70510
(337) 893-3443
(337) 893-3439
Mailing address
806 JEFFERSON TER, NEW IBERIA, LA 70560-5727
(337) 365-4945
(337) 376-6860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12332R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1530301
—
LA
Enumeration date
07/02/2006
Last updated
05/26/2023
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