Long, Brian

Long, Brian is an individual health care provider with primary practice located at 51 E Paulding Dr , Dallas GA 30157-7190. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Long, Brian can be contacted via phone (770) 505-8988.

Contact Information

Primary practice address
51 E Paulding Dr Dallas GA 30157-7190
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 018378 Georgia

Profile Details

NPI number 1093052144
LBN Legal business name Long, Brian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - about 12 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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