TROY EDWARD LONG

CORRYTON, TN
NPI1770854101
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date2012-01-17
Last Update Date2012-01-17
Business Address
-- TROY EDWARD LONG IDMT
8504 EMORY RD NE
CORRYTON, TN 37721
Phone number: 865-257-4683
Mailing Address
-- TROY EDWARD LONG IDMT
8504 EMORY RD NE
CORRYTON, TN 37721
Phone number: