ERIC TANNER LONG

FLOWOOD, MS
NPI1932676913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902946)
Enumeration Date2018-10-29
Last Update Date2019-09-08
Business Address
ERIC TANNER LONG FNP
104 BURNEY DR
FLOWOOD, MS 39232-6621
Phone number: 601-987-8200
Mailing Address
ERIC TANNER LONG FNP
PO BOX 30594
CHARLOTTE, NC 28230-0594
Phone number: 601-987-8200
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