MR. Benjamin Long, ATC
NPI #1730411398 in Brandon, Mississippi
Provider Information
- NPI Number
- 1730411398
- Entity Type
- Individual
- Name
- MR. Benjamin Long, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 8, 2010
- Last Updated
- Feb 8, 2010
Practice Location
- Address
- 314 SILTSTONE RDG
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-6377
- Phone
- (601) 397-8767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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