Mark Anthony Long in Kennesaw - Pediatrics

Mark Anthony Long - NPI 1285691501

Mark Anthony Long is a Pediatrics in Kennesaw, Georgia. Mark Anthony Long practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark Anthony Long is 1285691501. The last update date is 2007-07-08.

Mark Anthony Long's current location address is 3745 Cherokee St, Kennesaw, Georgia. You can contact this provider via phone number 7704291005 and fax number 7704298005. The mailing address for Mark Anthony Long is 3745 Cherokee St, Kennesaw, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Anthony Long
Address 3745 Cherokee St, Kennesaw, Georgia
Phone Number 7704291005
Fax Number 7704298005
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1285691501
Provider Enumeration Date 2006-04-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3745 Cherokee St
City Kennesaw
State Georgia (GA)
Post Code 30144
Phone Number 7704291005
Fax Number 7704298005

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 48265
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

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FAQs about Mark Anthony Long

What is the unique identifier code issued to Mark Anthony Long by the Centers for Medicare & Medicaid Services?

The Mark Anthony Long has been assigned the NPI (National Provider Identifier) 1285691501. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Mark Anthony Long is physically located?

The Mark Anthony Long is physically situated at the following address: 3745 Cherokee St, Kennesaw, GA, 30144.

What is Mark Anthony Long's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Anthony Long is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 208000000X.

On what date did Mark Anthony Long receive its 1285691501 assignment from the Centers for Medicare & Medicaid Services?

The Mark Anthony Long was assigned its 1285691501 on 2006-04-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Mark Anthony Long's information last updated?

The Mark Anthony Long's information was last updated on 2007-07-08.

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