Individual
MS. MARGARET LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1909 LANCER CT, GASTONIA, NC 28054-5703
(704) 453-3035
Mailing address
1909 LANCER CT, GASTONIA, NC 28054-5703
(704) 453-3035
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1607
NC
Other
Enumeration date
07/27/2014
Last updated
07/27/2014
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