Individual
CONNOR JAMESON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2535
(865) 471-0548
(865) 471-5103
Mailing address
132 E BROADWAY BLVD, JEFFERSON CITY, TN 37760-2535
(865) 471-0548
(865) 471-5103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
50060
TN
Other
Enumeration date
08/06/2026
Last updated
08/06/2026
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