Individual
EDWARD LONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24068 PROFESSIONAL PARK DR, LAWRENCEBURG, IN 47025-7600
(812) 637-2323
(812) 637-2878
Mailing address
24068 PROFESSIONAL PARK DR, LAWRENCEBURG, IN 47025-7600
(812) 637-2323
(812) 637-2878
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01034249A
IN
Other
Enumeration date
07/07/2006
Last updated
05/07/2008
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