Organization
LUMNOVA HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PATRICK LONG JR. (PARTNER)
(404) 576-8644
Entity
Organization
Contact information
Practice address
612 HUCKLEBERRY RD, CANTON, GA 30114-2117
(404) 576-8644
(470) 408-3969
Mailing address
612 HUCKLEBERRY RD, CANTON, GA 30114-2117
(404) 576-8644
(470) 408-3969
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
05/07/2026
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