Individual
JULIA FONTANA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 WOODSPRING LN, GREENVILLE, NC 27834-7765
(252) 375-6597
Mailing address
317 WOODSPRING LN, GREENVILLE, NC 27834-7765
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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