Individual
MRS. CAROLINE VICTORIA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
189 JEFFERSON PKWY, NEWNAN, GA 30263
(770) 304-2220
Mailing address
189 JEFFERSON PKWY, NEWNAN, GA 30263-5823
(770) 304-2220
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN223432
GA
Other
Enumeration date
01/29/2018
Last updated
08/21/2019
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