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1144374638
MISTY PERRY LONG
NORCROSS, GA
NPI
1144374638
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN149348 NP)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Mrs. MISTY PERRY LONG NP-C
3720 DAVINCI CT SUITE 400
NORCROSS, GA 30092-7627
Phone number: 770-300-3502
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Mailing Address
Mrs. MISTY PERRY LONG NP-C
140 HILLBROOKE CT
MACON, GA 31210-1689
Phone number: 478-757-9779
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