Longe, Michael David
Longe, Michael David is an individual health care provider with primary practice located at 4350 Towne Centre Dr Suite 1000, Evans GA 30809-3301. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Pediatric Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Longe, Michael David can be contacted via phone (706) 868-3940.Contact Information
Primary practice address
4350 Towne Centre Dr Suite 1000
Evans GA 30809-3301
Phone: (706) 868-3940
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | 058273 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 058273 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | 058273 | Georgia |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | 058273 | Georgia |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 058273 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | 058273 | Georgia |
Profile Details
| NPI number | 1881817286 |
|---|---|
| LBN Legal business name | Longe, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Oct 31st, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881817286 | NPPES |
| South Carolina | MEDICAID | G58273 | |
| South Carolina | MEDICAID | 392555936 A-K |
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