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Contact Information

SALLIE M LONG
1120 15TH ST
AUGUSTA, GA30912-1002
 Phone: 706-721-8623
 Fax: 706-721-1459
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SALLIE M LONG · (Female)

NPI # 1548788482
Status Active
Credentials
Entity Individual
Enumeration date 08/30/2017
Last updated 08/08/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME159941
  • GA License # 98473
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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