Individual
MR. WILLIAM SHERMAN LONG JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7900 RHEA MEDICAL CENTER, RHEA COUNTY HWY, DAYTON, TN 37321
(423) 775-1121
Mailing address
PO BOX 446, DAYTON, TN 37321-0446
(423) 280-5215
(843) 842-5215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN0000008702
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
142793
BLUE CROSS BS
TN
Enumeration date
05/25/2006
Last updated
07/08/2007
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