Mark Anthony Long, MD in Kennesaw, GA - Pediatrics

Mark Anthony Long, MD is a Pediatrics physician based in Kennesaw, Georgia. Mark Anthony Long is licensed to practice in Georgia (license number 048265) and his current practice location is 3745 Cherokee St, Suite 401, Kennesaw, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 429-1005.

NPI number for Mark Anthony Long is 1285691501 and his current mailing address is 3745 Cherokee St, Suite 401, Kennesaw, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1285691501.

Contact Information

	Mark Anthony Long, MD
	3745 Cherokee St, Suite 401, Kennesaw, GA 30144
	(770) 429-1005
	(770) 429-8005

Physician's Profile

Full Name	Mark Anthony Long
Gender	Male
Speciality	Pediatrics
Location	3745 Cherokee St, Kennesaw, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1285691501
Provider Enumeration Date: 04/28/2006
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mark Anthony Long such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285691501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	048265 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mark Anthony Long is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mark Anthony Long, MD 3745 Cherokee St, Suite 401, Kennesaw, GA 30144 Ph: (770) 429-1005	Mark Anthony Long, MD 3745 Cherokee St, Suite 401, Kennesaw, GA 30144 Ph: (770) 429-1005

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Pediatrics Doctors in Kennesaw, GA

Brandi Lewis, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1180 Ernest W Barrett Pkwy Nw Ste 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Krishna Eechampati, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Dr. Kimberly Dao-king, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 750 Townpark Ln Nw, Kennesaw, GA 30144 Phone: 800-611-1811
Karen Spencer Thrower, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3745 Cherokee St, Ste 401, Kennesaw, GA 30144 Phone: 770-429-1005 Fax: 770-429-8005
Anabelle Monroe, MD Pediatrics Medicare: Medicare Enrolled Practice Location: Pediatrics Health Care Team A, 750 Townpark Lane, Kennesaw, GA 30144 Phone: 770-514-5455 Fax: 770-514-5444
Constance Enmon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 625 Big Shanty Rd Nw, Kennesaw, GA 30144 Phone: 404-785-8010 Fax: 404-785-8090
Bryana Ferris, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw, Kennesaw, GA 30144 Phone: 678-354-2273 Fax: 770-794-6652

Mark Anthony Long, MD - Pediatrics in Kennesaw, GA