Long, Carole Louise

Long, Carole Louise is an individual health care provider with primary practice located at 2036 Chilhowee Professional Park , Maryville TN 37804-5285. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Long, Carole Louise can be contacted via phone (865) 379-4490.

Contact Information

Primary practice address
2036 Chilhowee Professional Park Maryville TN 37804-5285
Phone: (865) 379-4490
Fax: (865) 379-4470
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25116 Tennessee

Profile Details

NPI number 1609912054
LBN Legal business name Long, Carole Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 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 1609912054 NPPES
Tennessee Other 4051747 BLUE CROSS BLUE SHIELD TN

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