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1265085385
HEATH AUSTIN LONG
MARYVILLE, TN
NPI
1265085385
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 26160)
Enumeration Date
2019-07-17
Last Update Date
2019-08-06
Business Address
Mr. HEATH AUSTIN LONG FNP-C
355 BMH PHYSICIANS OFFICE BLDG
MARYVILLE, TN 37804-5820
Phone number: 865-980-5060
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Mailing Address
Mr. HEATH AUSTIN LONG FNP-C
103 W BROADWAY AVE
MARYVILLE, TN 37801-4703
Phone number: 865-273-1752
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