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Angela Long
Family Nurse Practitioner in Fayetteville, Georgia
NPI 1477083913

Angela Long is a Family Nurse Practitioner based in Sharpsburg, GA and is specialized in Family. Angela Long practices in Fayetteville, GA. The NPI Number for Angela Long is 1477083913 and holds a License No. RN208639 (Georgia).

The current practice location address for Angela Long is 1265 Highway 54 W Ste 402, Fayetteville, GA and can be reached out via phone at 678-817-6550.

Location: 1265 Highway 54 W Ste 402, Fayetteville, GA, 30277-2109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477083913
Provider Name
Angela Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
1265 Highway 54 W Ste 402, Fayetteville, GA, 30277-2109
Phone Number
678-817-6550
Fax Number
Provider Enumeration Date
06/18/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1265 Highway 54 W Ste 402
City
Fayetteville
State
Georgia
Zip
30214-4537
Phone Number
678-817-6550
Fax Number
person
Provider Business Mailing Address Details
Address
1265 Highway 54 W Ste 402
City
Fayetteville
State
Georgia
Zip
30214-4537
Phone Number
678-817-6550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN208639 (Georgia)
Definition
Definition to come...
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