DANIEL LONG

LAWRENCEVILLE, GA
NPI1184048209
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: GA  AT001724)
Enumeration Date2014-02-10
Last Update Date2014-02-10
Business Address
-- DANIEL LONG ATC
233 MOORLAND WAY
LAWRENCEVILLE, GA 30043
Phone number: 334-703-6242
Mailing Address
-- DANIEL LONG ATC
233 MOORLAND WAY
LAWRENCEVILLE, GA 30043-7574
Phone number: 334-703-6242
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