STEVEN BRENISEN LONG

ALPHARETTA, GA
NPI1245448182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: GA  049225)
Enumeration Date2007-05-21
Last Update Date2007-07-08
Business Address
Dr. STEVEN BRENISEN LONG M.D.
9690 VENTANA WAY
ALPHARETTA, GA 30022-6394
Phone number: 770-623-6773
Mailing Address
Dr. STEVEN BRENISEN LONG M.D.
4680 SPRING WOOD TRCE
CUMMING, GA 30041-1701
Phone number: 678-622-1979