Betty Jane Long

NPI #1285643320 in Midway, Georgia

Provider Information

NPI Number: 1285643320
Entity Type: Individual
Name: Betty Jane Long
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Aug 7, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 204 BUTLER AVE
City: Midway
State: Georgia
ZIP Code: 31320
Phone: (912) 884-9255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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