Brian Long

NPI #1093052144 in Dallas, Georgia

Provider Information

NPI Number: 1093052144
Entity Type: Individual
Name: Brian Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Jan 9, 2013
Last Updated: Jan 9, 2013

Practice Location

Address: 51 E PAULDING DR
City: Dallas
State: Georgia
ZIP Code: 30157-7190
Phone: (770) 505-8988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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