Individual
ANNA VIRGINIA LONGACRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
488 KENNESAW AVE NW, SUITE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 888-7575
(404) 885-7777
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
058272
GA
Other
Enumeration date
07/18/2006
Last updated
12/29/2011
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