Long, Sara-Grace Katherine

Long, Sara-Grace Katherine is an individual health care provider with primary practice located at 2100 Exeter Rd , Germantown TN 38138-3966. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Long, Sara-Grace Katherine can be contacted via phone (901) 701-5540.

Contact Information

Primary practice address
2100 Exeter Rd Germantown TN 38138-3966
Phone: (901) 701-5540
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1700585122
LBN Legal business name Long, Sara-Grace Katherine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2023
Last updated Feb 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700585122 NPPES
Other 174671 BAPTIST

Popular Providers