Long, Mark Anthony

Long, Mark Anthony is an individual health care provider with primary practice located at 3745 Cherokee St Suite 401, Kennesaw GA 30144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Long, Mark Anthony can be contacted via phone (770) 429-1005.

Contact Information

Primary practice address
3745 Cherokee St Suite 401 Kennesaw GA 30144
Phone: (770) 429-1005
Fax: (770) 429-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 048265 Georgia

Profile Details

NPI number 1285691501
LBN Legal business name Long, Mark Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
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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