Individual
ADAM LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
713 SOUTH AVE, TARBORO, NC 27886-3510
(252) 668-1385
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
295422
NC
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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