Daniel Long, ATC

NPI #1184048209 in Lawrenceville, Georgia

Provider Information

NPI Number
1184048209
Entity Type
Individual
Name
Daniel Long, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
ATC
Enumeration Date
Feb 10, 2014
Last Updated
Feb 10, 2014

Practice Location

Address
233 MOORLAND WAY
State
Georgia
ZIP Code
30043
Phone
(334) 703-6242

Specialties & Taxonomy Codes

Specialty
Specialist

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