MEDICARE: DR. RUBY J LONG M.D.

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
1	207P00000X	Emergency Medicine Physician	01066266A	IN
2	207P00000X	Emergency Medicine Physician	57.012215	OH
3	207P00000X	Emergency Medicine Physician	73807	WI
4	207P00000X	Emergency Medicine Physician	2014-02548	NC

General Provider Information

NPI Number	:	1477710473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RUBY J LONG M.D.

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Provider Business Practice Location Address
First Line	:	2817 ROCK MERRITT AVE WOMACK ARMY MEDICAL CENTER
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-3522
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2008
Last Update Date	:	04/16/2025

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Directions to “ DR. RUBY J LONG M.D.” Practice Location

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