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1154917433
MELISSA LOREN LONG
AUGUSTA, GA
NPI
1154917433
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 10076)
Enumeration Date
2020-12-21
Last Update Date
2022-01-28
Business Address
-- MELISSA LOREN LONG PA-C
3624 J DEWEY GRAY CIR STE 308
AUGUSTA, GA 30909-6580
Phone number: 904-400-5056
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Mailing Address
-- MELISSA LOREN LONG PA-C
3624 J DEWEY GRAY CIR STE 308
AUGUSTA, GA 30909-6580
Phone number: 706-922-7670
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