Long, Joseph Blake

Long, Joseph Blake is an individual health care provider with primary practice located at 4750 Waters Ave Suite 512, Savannah GA 31404-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Long, Joseph Blake can be contacted via phone (912) 350-8085.

Contact Information

Primary practice address
4750 Waters Ave Suite 512 Savannah GA 31404-6200
Phone: (912) 350-8085
Fax: (912) 350-3703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 040143 Georgia

Profile Details

NPI number 1578679197
LBN Legal business name Long, Joseph Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Dec 4th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1578679197 NPPES
Georgia MEDICAID 000666322A

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