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Ms. Mary Lavonne Long, APRN
Family Nurse Practitioner in Smyrna, Georgia
NPI 1295877033

Mary Lavonne Long is a Family Nurse Practitioner based in Smyrna, GA and is specialized in Family. Mary Lavonne Long practices in Smyrna, GA and has the professional credentials of APRN. The NPI Number for Mary Lavonne Long is 1295877033 and holds a License No. RN077139 (Georgia).

The current practice location address for Mary Lavonne Long is 3969 S Cobb Dr Se Ste 206, Smyrna, GA and can be reached out via phone at 770-432-5326 and via fax at 770-432-5740.

Location: 3969 S Cobb Dr Se Ste 206, Smyrna, GA, 30080-6317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295877033
Provider Name
Mary Lavonne Long
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
3969 S Cobb Dr Se Ste 206, Smyrna, GA, 30080-6317
Phone Number
770-432-5326
Fax Number
770-432-5740
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3969 S Cobb Dr Se Ste 206
City
Smyrna
State
Georgia
Zip
30080-6317
Phone Number
770-432-5326
Fax Number
770-432-5740
person
Provider Business Mailing Address Details
Address
3969 S Cobb Dr Se Ste 206
City
Smyrna
State
Georgia
Zip
30080-6317
Phone Number
770-432-5326
Fax Number
770-432-5740
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN077139 (Georgia)
Definition
Definition to come...
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