Male or Other

Dr. Michael D. Longe MD

Diagnostic Radiology Physician in Evans, GA(View on Map)

Full Name

Dr. Michael David Longe MD

NPI Number

1881817286

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/11/2007

Specialties

(Taxonomies)

Licenses

State

Georgia

License Number

058273

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 3845
4350 TOWNE CENTRE DR

City

Augusta
Evans

State

GA
GA

Postal Code

30914-3845
30809-3301

Country

US
US

Telephone Number

(706) 737-4275
(706) 868-3940

Identifiers

Identifier

G58273
392555936 A-K

Identifier State

SC
GA

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/31/2013

Provider Address

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