Individual
DR. MICHAEL DAVID LONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4350 TOWNE CENTRE DR, SUITE 1000, EVANS, GA 30809-3301
(706) 868-3940
Mailing address
PO BOX 3845, 1125 TROUPE STREET, AUGUSTA, GA 30914-3845
(706) 737-4275
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
058273
GA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
058273
GA
2085N0700X
Neuroradiology Physician
058273
GA
2085P0229X
Pediatric Radiology Physician
058273
GA
2085R0202X
Diagnostic Radiology Physician
Primary
058273
GA
2085U0001X
Diagnostic Ultrasound Physician
058273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392555936 A-K
—
GA
05
—
G58273
—
SC
Enumeration date
04/11/2007
Last updated
10/31/2013
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