Individual provider · Type 1 NPI

Diane Long, MD

Specialist · Memphis, TN

NPI number 1174558613 Active

Practice location

6215 Humphreys Blvd, Suite 500
Memphis, TN 38120-2367

Call (901) 682-0630 Map

Fax (901) 682-0635

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X15391 (TN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1174558613

Diane Long, MD's National Provider Identifier is 1174558613, issued on Jul 12, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.