Individual
MADELAINE PAIGE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2525 21ST AVE S, NASHVILLE, TN 37212-5601
(615) 235-5335
Mailing address
329 SWYNFORD CT, BRENTWOOD, TN 37027-8273
(270) 585-0141
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4515
TN
Other
Enumeration date
04/15/2021
Last updated
05/27/2022
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