Long, Mary Lavonne

Long, Mary Lavonne is an individual health care provider with primary practice located at 3969 S Cobb Dr Se Ste 206 , Smyrna GA 30080-6317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Mary Lavonne can be contacted via phone (770) 432-5326.

Contact Information

Primary practice address
3969 S Cobb Dr Se Ste 206 Smyrna GA 30080-6317
Phone: (770) 432-5326
Fax: (770) 432-5740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN077139 Georgia

Profile Details

NPI number 1295877033
LBN Legal business name Long, Mary Lavonne
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 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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