Individual
LATOYA LONG-GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
108 S MAIN ST STE F, DAVIDSON, NC 28036-8096
(704) 997-5525
Mailing address
108 S MAIN ST STE F, DAVIDSON, NC 28036-8096
(704) 997-5525
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
5009448
NC
363L00000X
Nurse Practitioner
19902
SC
363LF0000X
Family Nurse Practitioner
Primary
5009448
NC
Other
Enumeration date
01/07/2016
Last updated
10/15/2018
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