person
Dr. Georganne Long, MD
Gynecology Physician in Richmond, Virginia
NPI 1962482992

Georganne Long is a Gynecology Physician based in Midlothian, VA and is specialized in Gynecology. Georganne Long practices in Richmond, VA and has the professional credentials of MD. The NPI Number for Georganne Long is 1962482992 and holds a License No. 0101042241 (Virginia).

The current practice location address for Georganne Long is 1401 Johnston Willis Dr, Richmond, VA and can be reached out via phone at 804-320-2483 and via fax at 804-794-0050.

Location: 1401 Johnston Willis Dr, Richmond, VA, 23114-5551
person
Provider Profile Details
NPI Number
1962482992
Provider Name
Georganne Long
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1401 Johnston Willis Dr, Richmond, VA, 23114-5551
Phone Number
804-320-2483
Fax Number
804-794-0050
Provider Enumeration Date
01/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2640631 01 CIGNA
51812 01 SENTARA
94537 01 SOUTHERN HEALTH
328078 01 MAMSI
0000083419002 01 UNITED
0862248 01 AETNAUSHEALTH
541941044002 01 TRICARE
226117 01 ANTHEM
51812 01 OPTIMA HEALTH
11941 01 CARENET
10240697 01 VA PREMIER
institution
Provider Business Practice Location Address Details
Address
1401 Johnston Willis Dr
City
State
Zip
23235-4730
Phone Number
804-320-2483
Fax Number
804-794-0050
person
Provider Business Mailing Address Details
Address
1401 Johnston Willis Dr
City
State
Zip
23235-4730
Phone Number
804-320-2483
Fax Number
804-794-0050
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
0101042241 (Virginia)
Definition
Definition to come...
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