Individual
TAURA L LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4777 ANDREW JACKSON PKWY, 102, HERMITAGE, TN 37076-1323
(615) 889-1591
(615) 889-0599
Mailing address
3024 BUSINESS PARK CIR, GOODLETTSVILLE, TN 37072-3132
(615) 239-2018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000047878
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529002
—
TN
01
—
6056729
BCBST
TN
01
—
P01601955
RR MEDICARE
TN
Enumeration date
04/15/2009
Last updated
11/06/2025
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