Healthcare Provider Details

I. General information

NPI: 1316903016
Provider Name (Legal Business Name): JAMES ARTHUR LONG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 MEDICAL CENTER CIR SUITE 307
FISHERSVILLE VA
22939-2273
US

IV. Provider business mailing address

PO BOX 388
FISHERSVILLE VA
22939-0388
US

V. Phone/Fax

Practice location:
  • Phone: 540-245-7190
  • Fax: 540-245-7191
Mailing address:
  • Phone: 540-245-7190
  • Fax: 540-245-7191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number0101020610
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: