Individual
DR. WENDY J. LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
310 GREAT CIRCLE RD, NASHVILLE, TN 37243-1700
(615) 507-6444
Mailing address
2875 FAIRVIEW BLVD, FAIRVIEW, TN 37062-8116
(615) 799-0959
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD18690
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD18690
MEDICAL LICENSE
TN
Enumeration date
02/27/2007
Last updated
07/08/2007
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