Individual
SAVANNAH FAYE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-5114
(304) 647-3006
Mailing address
1322 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016
(304) 647-1139
(304) 647-3006
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4969
FL
Other
Enumeration date
12/10/2014
Last updated
02/21/2019
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