Nicholas James Long

Physical Therapist · Blakely, GA

Individual Active NPI

NPI number 1598094955

Practice location

11740 Columbia St
Blakely, GA 39823-2574
Phone
(229) 723-2930

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NPI record

NPI
1598094955
Entity type
Individual (Type 1)
Enumeration date
December 15, 2009
Last updated
December 15, 2009
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT009781 GA

Mailing address

920 Cairo Rd
Reimbursement Department
Thomasville, GA 31792-4255
Phone
(229) 228-8800
Fax
(229) 228-8892

About Nicholas Long

Nicholas James Long is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 11740 Columbia St, Blakely, GA 39823-2574. The NPI number 1598094955 was assigned on December 15, 2009 and the record was last updated on December 15, 2009.

Nicholas Long lists a license in the registry: #PT009781 (GA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nicholas James Long?

The NPI number is 1598094955.

What is the phone number of Nicholas Long?

The phone number listed for the practice location is (229) 723-2930.

Where is Nicholas Long located?

11740 Columbia St, Blakely, GA 39823-2574.

What is the taxonomy code for Nicholas Long?

The primary taxonomy code is 225100000X – Physical Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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