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1245448182
STEVEN BRENISEN LONG
ALPHARETTA, GA
NPI
1245448182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: GA 049225)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
Dr. STEVEN BRENISEN LONG M.D.
9690 VENTANA WAY
ALPHARETTA, GA 30022-6394
Phone number: 770-623-6773
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Mailing Address
Dr. STEVEN BRENISEN LONG M.D.
4680 SPRING WOOD TRCE
CUMMING, GA 30041-1701
Phone number: 678-622-1979
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