Nicholas James Long, | |
11740 Columbia St, Blakely, GA 39823-2574 | |
(229) 723-2930 | |
Not Available |
Full Name | Nicholas James Long |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 11740 Columbia St, Blakely, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598094955 | NPI | - | NPPES |
PT009781 | Other | GA | LICENSE NO. |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT009781 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Nicholas James Long, 920 Cairo Rd, Reimbursement Department, Thomasville, GA 31792-4255 Ph: (229) 228-8800 | Nicholas James Long, 11740 Columbia St, Blakely, GA 39823-2574 Ph: (229) 723-2930 |
Linda W Wallace, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-724-4269 Fax: 229-723-2354 | |
Jeffrey E. Tardif, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11740 Columbia St, Blakely, GA 39823 Phone: 229-723-4241 |