Nicholas James Long

NPI #1598094955 in Blakely, Georgia

Provider Information

NPI Number: 1598094955
Entity Type: Individual
Name: Nicholas James Long
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Dec 15, 2009
Last Updated: Dec 15, 2009

Practice Location

Address: 11740 COLUMBIA ST
City: Blakely
State: Georgia
ZIP Code: 39823-2574
Phone: (229) 723-2930

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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