Individual
DR. ROBERT CRAIG LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHARMD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5601
Mailing address
2500 N STATE ST, DEPT OF INTERNAL MEDICINE/DIVISION OF CARDIOLOGY, JACKSON, MS 39216-4500
(601) 984-1000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
E09167
MS
207R00000X
Internal Medicine Physician
19752
MS
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
19752
MS
207RC0000X
Cardiovascular Disease Physician
19752
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00121925
—
MS
05
—
133721
—
AL
05
—
2406639
—
LA
01
—
P01330224
RAILROAD MEDICARE PTAN
MS
Enumeration date
05/09/2007
Last updated
06/06/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us