SearchTennessee156F00000X

Russell Long

NPI 1629886627 · on the registry since 2024 · sole proprietor

Practice

Address
1805 Wilcrest Dr Apt 5
Memphis, TN 38134
Phone
(901) 558-8302

Registry record

Primary taxonomy
156F00000X
156F00000X
Sex
Male
Record last updated
2024-12-21

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 Tennessee