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NPI Code Detail

MEDICARE: DEBORAH SCHULTE LONG CFNP

MEDICARE: DEBORAH SCHULTE LONG CFNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN075203GA
2363L00000XNurse PractitionerRNGA
3363LF0000XFamily Nurse PractitionerRN075203GA

General Provider Information

NPI Number : 1598712713
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH SCHULTE LONG CFNP
Provider Business Mailing Address
First Line : 3500 MCCLURE BRIDGE RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-3131
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Provider Business Practice Location Address
First Line : 3500 MCCLURE BRIDGE RD
Second Line :
City : DULUTH
State : GA
Zip : 30096-3131
Country : US
Telephone Number : 770-476-3636
Fax Number : 770-476-5845
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 05/19/2020

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