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1053394700
MICHAEL HARRISON LONG
GASTONIA, NC
NPI
1053394700
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 101424)
Enumeration Date
2005-11-28
Last Update Date
2018-06-27
Business Address
Mr. MICHAEL HARRISON LONG PA-C
870 SUMMIT CROSSING PL
GASTONIA, NC 28054
Phone number: 704-323-2000
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Mailing Address
Mr. MICHAEL HARRISON LONG PA-C
4601 PARK RD STE 300
CHARLOTTE, NC 28209-3239
Phone number: 704-323-2000
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