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Melissa Ann Long
Pediatric Nurse Practitioner in Lawrenceville, Georgia
NPI 1477147031

Melissa Ann Long is a Pediatric Nurse Practitioner based in Snellville, GA and is specialized in Pediatrics. Melissa Ann Long practices in Lawrenceville, GA. The NPI Number for Melissa Ann Long is 1477147031 and holds a License No. RN226768 (Georgia).

The current practice location address for Melissa Ann Long is 2000 Riverside Pkwy Ste 207, Lawrenceville, GA and can be reached out via phone at 678-646-0404.

Location: 2000 Riverside Pkwy Ste 207, Lawrenceville, GA, 30078-6791
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477147031
Provider Name
Melissa Ann Long
Credential
Provider Entity Type
Individual
Gender
Female
Address
2000 Riverside Pkwy Ste 207, Lawrenceville, GA, 30078-6791
Phone Number
678-646-0404
Fax Number
Provider Enumeration Date
02/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2000 Riverside Pkwy Ste 207
City
Lawrenceville
State
Georgia
Zip
30043-5926
Phone Number
678-646-0404
Fax Number
person
Provider Business Mailing Address Details
Address
2000 Riverside Pkwy Ste 207
City
Lawrenceville
State
Georgia
Zip
30043-5926
Phone Number
678-646-0404
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
RN226768 (Georgia)
Definition
Definition to come...
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