SearchGeorgia363A00000X

Kelly Long

NPI 1306715503 · on the registry since 2025

Practice

Address
1284 Hampton Hall Dr Ne
Brookhaven, GA 30319
Phone
(404) 263-3378

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-04

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