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1417482167
CHARLES LONG
CUMMING, GA
NPI
1417482167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: GA 100276)
Enumeration Date
2017-05-01
Last Update Date
2024-06-05
Business Address
CHARLES LONG MD
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041-6081
Phone number: 770-758-8964
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Mailing Address
CHARLES LONG MD
2000 HOWARD FARM DR STE 200
CUMMING, GA 30041-6081
Phone number: 770-758-8964
Copy
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