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Daniel Long, ATC
NPI 1184048209 · on the registry since 2014 · sole proprietor
Practice
- Address
- 233 Moorland Way
Lawrenceville, GA 30043 - Phone
- (334) 703-6242
Registry record
- Primary taxonomy
- Specialist
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia