Search › Georgia › 207W00000X
Brian Long, MD
NPI 1760446181 · on the registry since 2006
Practice
- Address
- 340 Brandywine Blvd
Fayetteville, GA 30214 - Phone
- (770) 719-7950
- Fax
- (770) 460-1739
- Organisation at this address
- Eca Optical, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-19
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