MEDICARE: DR. FRANK E LONG MD

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	174400000X	Specialist	20667	NC
2	207V00000X	Obstetrics & Gynecology Physician	20667	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232009	OTHER	NC	MEDICARE PIN-GROUP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851385934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK E LONG MD

Provider Business Mailing Address
First Line	:	200 MEDICAL PARK DR
Second Line	:	SUITE 250 CABARRUS OB/GYNA
City	:	CONCORD
State	:	NC
Zip	:	28025-2982
Country	:	US
Telephone Number	:	704-403-2740
Fax Number	:	704-403-2744

Provider Business Practice Location Address
First Line	:	200 MEDICAL PARK DR
Second Line	:	SUITE 250 CABARRUS OB/GYN
City	:	CONCORD
State	:	NC
Zip	:	28025-2982
Country	:	US
Telephone Number	:	704-403-2740
Fax Number	:	704-403-2744

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	04/06/2009

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Directions to “ DR. FRANK E LONG MD” Practice Location

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