Individual
MRS. CAROL SUE LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1584 ANITA PL NE, ATLANTA, GA 30306-2202
(404) 271-7663
(678) 535-0983
Mailing address
1584 ANITA PL NE, ATLANTA, GA 30306-2202
(404) 271-7663
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN063853
GA
Other
Enumeration date
01/09/2007
Last updated
11/16/2025
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