Individual
MRS. SAMAR MCCANN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
453 W 10TH AVE, ATWELL HALL 228A, COLUMBUS, OH 43210-2205
(614) 292-4487
Mailing address
453 W 10TH AVE, ATWELL HALL 228A, COLUMBUS, OH 43210-2205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004510
OH
Other
Enumeration date
10/29/2014
Last updated
09/24/2019
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