Long, Edward Larry

Long, Edward Larry is an individual health care provider with primary practice located at 980 Sanders Rd Ste 100 , Cumming GA 30041-5977. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Long, Edward Larry can be contacted via phone (478) 301-2652.

Contact Information

Primary practice address
980 Sanders Rd Ste 100 Cumming GA 30041-5977
Phone: (478) 301-2652
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 95436 Georgia

Profile Details

NPI number 1336654326
LBN Legal business name Long, Edward Larry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2017
Last updated May 22nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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