Individual
DR. MICHAEL AUGUST LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Mailing address
10415 WALLACE ALLEY ST, KINGSPORT, TN 37663-3936
(423) 390-0451
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
29752
AL
207L00000X
Anesthesiology Physician
Primary
48520
TN
Other
Enumeration date
05/30/2008
Last updated
05/15/2026
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