| NPI | 1932425337 |
|---|---|
| Doing Business As | MARY I LONG |
| Entity Type | Organization |
| Authorized Contact | MARY LONG Owner / Provider 318-354-9348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD 022285) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |