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Dr. Kathleen A. Long, MD
Hematology & Oncology Physician in Hiram, Georgia
NPI 1043215403

Kathleen A. Long is a Hematology & Oncology Physician based in Marietta, GA and is specialized in Hematology & Oncology. Kathleen A. Long practices in Hiram, GA and has the professional credentials of MD. The NPI Number for Kathleen A. Long is 1043215403 and holds a License No. 038549 (Georgia).

The current practice location address for Kathleen A. Long is 144 Bill Carruth Pkwy Ste 3100, Hiram, GA and can be reached out via phone at 678-363-1940 and via fax at 678-581-7110.

Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA, 30060-6975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043215403
Provider Name
Kathleen A. Long
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
144 Bill Carruth Pkwy Ste 3100, Hiram, GA, 30060-6975
Phone Number
678-363-1940
Fax Number
678-581-7110
Provider Enumeration Date
06/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00599981F 05 GA
000599981AE 05 GA
000599981AD 05 GA
1043215403 01 GA NPI NUMBER
00599981AB 05 GA
00599981G 05 GA
00599981D 05 GA
009932125 05 AL
0741780009 01 GA SUPPLIER NPI NUMBER (CANTON)
1801924857 01 GA SUPPLIER NPI NUMBER (JASPER)
institution
Provider Business Practice Location Address Details
Address
144 Bill Carruth Pkwy Ste 3100
City
Hiram
State
Georgia
Zip
30141-3819
Phone Number
678-363-1940
Fax Number
678-581-7110
person
Provider Business Mailing Address Details
Address
144 Bill Carruth Pkwy Ste 3100
City
Hiram
State
Georgia
Zip
30141-3819
Phone Number
678-363-1940
Fax Number
678-581-7110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
038549 (Georgia)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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