Individual
MEREDITH MYERS LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
347 S CHERRY ST, KERNERSVILLE, NC 27284-2711
(336) 497-4452
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
088171
NC
Other
Enumeration date
09/11/2011
Last updated
09/11/2011
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