Individual
DR. CASEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
432 SAINT LUKES DR, MONTGOMERY, AL 36117-7104
(334) 288-7808
(334) 288-8089
Mailing address
PO BOX 241348, MONTGOMERY, AL 36124-1348
(334) 288-7808
(334) 288-8089
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD.33195
AL
208VP0000X
Pain Medicine Physician
Primary
MD33195
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185213
—
AL
Enumeration date
07/31/2014
Last updated
04/15/2019
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