Individual
TAMMY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MEADOWMONT VILLAGE CIR # 101, CHAPEL HILL, NC 27517-7518
(984) 974-2900
Mailing address
424 ENO DR, HOLLY SPRINGS, NC 27540-6005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5010717
NC
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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