Individual
MR. CARL EDWARD LONG JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2817 ROCKET MERRITT AVE, FORT LIBERTY, NC 28310-5005
(910) 907-8922
(910) 907-6069
Mailing address
2817 ROCKET MERRITT AVE, FORT LIBERTY, NC 28310-5005
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1053572
—
Other
Enumeration date
01/28/2006
Last updated
01/30/2025
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