KATHERINE MARIE LONG

JACKSON, MS
NPI1134495484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: MS  TPA0023)
Enumeration Date2012-03-30
Last Update Date2018-03-29
Business Address
KATHERINE MARIE LONG PA
1225 N STATE ST SURGERY
JACKSON, MS 39202-2064
Phone number: 601-968-7047
Mailing Address
KATHERINE MARIE LONG PA
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number: 901-227-3255
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