Long, Justin Wayne
Long, Justin Wayne is an individual health care provider with primary practice located at 2085 Hamilton Creek Pkwy Suite 160, Dacula GA 30019. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Long, Justin Wayne can be contacted via phone (770) 271-1488.Contact Information
Primary practice address
2085 Hamilton Creek Pkwy Suite 160
Dacula GA 30019
Phone: (770) 271-1488
Fax: (770) 271-1822
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008689 | Georgia |
Profile Details
| NPI number | 1184728263 |
|---|---|
| LBN Legal business name | Long, Justin Wayne |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Popular Providers
-
Mutters, Clare
3615 Braselton Hwy Ste 101 , Dacula GA 30019-5907 -
Rogers, Lorrie K
3615 Braselton Hwy Ste 101 , Dacula GA 30019-5907 -
Toburen, David L
3026 Overlook Hill Pass , Dacula GA 30019-5105 -
Reenders, Symantha J
2108 Teron Trce Suite 200, Dacula GA 30019-1666 -
Snider, Anna Louise
2515 Fence Rd Ste 160 , Dacula GA 30019-2138 -
Bannister, Katie
3615 Braselton Hwy Suite 104, Dacula GA 30019-5906 -
Hutchins, Yumi Ueda
2515 Fence Rd Ste 160 , Dacula GA 30019-2138 -
Hatfield, Steven Ray
2085 Hamilton Creek Pkwy Suite 160, Dacula GA 30019