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Tim Long M.d., Psc
Primary Care Clinic/Center in Bowling Green, Kentucky
NPI 1417057902

Tim Long M.d., Psc is a Primary Care Clinic/Center based in Bowling Green, KY and is specialized in Primary Care. Tim Long M.d., Psc practices in Bowling Green, KY. The NPI Number for Tim Long M.d., Psc is 1417057902 and holds a License No. (Kentucky).

The current practice location address for Tim Long M.d., Psc is 1320 Andrea St, Bowling Green, KY and can be reached out via phone at 270-746-5455 and via fax at 270-746-5688.

Location: 1320 Andrea St, Bowling Green, KY, 42104-3334
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417057902
Provider Name
Tim Long M.d., Psc
Credential
Provider Entity Type
Organization
Address
1320 Andrea St, Bowling Green, KY, 42104-3334
Phone Number
270-746-5455
Fax Number
270-746-5688
Provider Enumeration Date
09/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
65936585 05 KY
DA8524 01 MEDICARE RAILROAD
000000216368 01 BC/BS
institution
Provider Business Practice Location Address Details
Address
1320 Andrea St
City
Bowling Green
State
Kentucky
Zip
42104-3334
Phone Number
270-746-5455
Fax Number
270-746-5688
person
Provider Business Mailing Address Details
Address
1320 Andrea St
City
Bowling Green
State
Kentucky
Zip
42104-3334
Phone Number
270-746-5455
Fax Number
270-746-5688
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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