SearchGeorgia103T00000X

Marvin Long, ED. D

NPI 1962563106 · on the registry since 2006 · sole proprietor

Practice

Address
1626 Veterans Blvd
Suite E
Dublin, GA 31021
Phone
(478) 272-1066
Fax
(478) 272-1066

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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