Jim T Long Jr.


Address: 196 Ridgecrest Cir, Clayton, GA 30525-4111

Jim T Long Jr. (NPI# 1154359446, PAC ID# 1355246349) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.

Physician Overview

Nation Provider ID (NPI) 1154359446
PAC ID by PECOS 1355246349
Professional Enrollment ID I20080130000266
Full Name Jim T Long Jr.
Address 196 Ridgecrest Cir
Clayton
GA 30525-4111
Gender M
Credential MD
Medical School UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year 1979
Primary Specialty ANESTHESIOLOGY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
111336 MOUNTAIN LAKES MEDICAL CENTER
110029 NORTHEAST GEORGIA MEDICAL CENTER, INC

Other Locations

Address Phone Organization
196 Ridgecrest Cir, Clayton, GA 30525-4111

Organization Information

Office Location

Street Address 196 RIDGECREST CIR
City CLAYTON
State GA
Zip 30525-4111

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Richard H Vail Chiropractic 55 Chechero St, Clayton, GA 30525-0021
Joshua F Gastley Nurse Practitioner Inmed Clinical Services 563 Mountain City Rd, Clayton, GA 30525-3072
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Competitor

Search similar physicians

City CLAYTON
Zip Code 30525
Specialty ANESTHESIOLOGY
City + Specialty CLAYTON + ANESTHESIOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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