| Brian K Long Md, Pllc | |
|
211 S Center St Suite 217-a Statesville NC 28677-5873 | |
| (704) 872-2350 | |
| (704) 872-2351 |
| Full Name | Brian K Long Md, Pllc |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 211 S Center St, Statesville, North Carolina |
| Authorized Official Name and Position | Brian K Long (OWNER) |
| Authorized Official Contact | 7048722350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian K Long Md, Pllc 211 S Center St Suite 217-a Statesville NC 28677-5873 Ph: (704) 872-2350 | Brian K Long Md, Pllc 211 S Center St Suite 217-a Statesville NC 28677-5873 Ph: (704) 872-2350 |
| NPI Number | 1154552040 |
|---|---|
| Provider Enumeration Date | 07/27/2009 |
| Last Update Date | 07/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154552040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 200500391 (North Carolina) | Primary |
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