Individual
TOM B LONGEST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
128 PUBLIC SQUARE, BRUCE, MS 38915
(662) 983-3222
(662) 983-2006
Mailing address
PO BOX 445, BRUCE, MS 38915
(662) 983-3222
(662) 983-2006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11382
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010518
—
MS
Enumeration date
10/31/2006
Last updated
01/23/2025
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