Np Group of Tim Long MD Psc

NPI #1285891465 in Bowling Green, Kentucky

Provider Information

NPI Number
1285891465
Entity Type
Organization
Organization Name
Np Group of Tim Long MD Psc
Subpart
Yes (part of a larger organization)
Parent Organization
TIM LONG MD PSC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 16, 2008
Last Updated
May 16, 2008

Practice Location

Address
1320 ANDREA ST
ZIP Code
42104-3334
Phone
(270) 746-5455

Authorized Official

Name
DR. TIMOTHY LONG, MD
Title
PRESIDENT
Phone
(270) 746-5455

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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