ELIJAH LONG

AUGUSTA, GA
NPI1104554195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT016046)
Enumeration Date2022-08-09
Last Update Date2022-08-09
Business Address
ELIJAH LONG DPT
254 ROBERT C DANIEL JR PKWY STE 4B
AUGUSTA, GA 30909-0812
Phone number: 706-723-5795
Mailing Address
ELIJAH LONG DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-541-3263
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