Long, Taura L

Long, Taura L is an individual health care provider with primary practice located at 4777 Andrew Jackson Pkwy 102, Hermitage TN 37076-1323. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Long, Taura L can be contacted via phone (615) 889-1591.

Contact Information

Primary practice address
4777 Andrew Jackson Pkwy 102 Hermitage TN 37076-1323
Phone: (615) 889-1591
Fax: (615) 889-0599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD0000047878 Tennessee

Profile Details

NPI number 1962645259
LBN Legal business name Long, Taura L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2009
Last updated Dec 12th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962645259 NPPES
Tennessee Other 6056729 BCBST
Tennessee Other P01601955 BCBST
Tennessee MEDICAID 1529002 BCBST

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