Individual
DR. JAMES BLAKELEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7547 MEDICAL DR STE 2200, GLOUCESTER, VA 23061-4351
(804) 693-2720
(804) 694-0597
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
(757) 594-4006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101257744
VA
207R00000X
Internal Medicine Physician
2007-01198
NC
Other
Enumeration date
10/03/2007
Last updated
06/29/2018
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