Individual
CHRISTOPHER MATTHEW LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D./PH.D.
Contact information
Practice address
3200 BLUE RIDGE RD STE 100, RALEIGH, NC 27612-8087
(919) 781-1437
Mailing address
5220 GREENS DAIRY RD, RALEIGH, NC 27616-4612
(919) 256-3576
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2015-02078
NC
2085R0204X
Vascular & Interventional Radiology Physician
0101270954
VA
2085R0204X
Vascular & Interventional Radiology Physician
2015-02078
NC
Other
Enumeration date
04/29/2011
Last updated
04/28/2023
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