ANGELA LONG

FAYETTEVILLE, GA
NPI1477083913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN208639)
Enumeration Date2017-06-18
Last Update Date2021-01-22
Business Address
ANGELA LONG
1265 HIGHWAY 54 W STE 402
FAYETTEVILLE, GA 30214-4537
Phone number: 678-817-6550
Mailing Address
ANGELA LONG
8342 HIGHWAY 54
SHARPSBURG, GA 30277-2109
Phone number: