Long, Justin B

Long, Justin B is an sole proprietor health care provider with primary practice located at 1405 Clifton Rd Ne , Atlanta GA 30322-1060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as his primary health care specialty. Long, Justin B can be contacted via phone (404) 785-6670.

Contact Information

Primary practice address
1405 Clifton Rd Ne Atlanta GA 30322-1060
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036.132063 Illinois

Profile Details

NPI number 1770718843
LBN Legal business name Long, Justin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2009
Last updated Jun 30th, 2016 - about 10 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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