Long Her
Family Medicine in Crawfordville, FL. Individual provider (NPI-1).
NPI number1124697255
StatusActive
Last updated in NPPESMar 21, 2025
Details
- NPI
- 1124697255
- Entity type
- Individual (NPI-1)
- Name
- Long Her
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2021
- Certification date
- Mar 21, 2025
- Last updated
- Mar 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | ME169510 | FL | Yes |
Practice location
15 Council Moore RdCrawfordville, FL 32327-3117
Phone 850-926-7105
Mailing address
1501 Kings HwyShreveport, LA 71103-4228
Phone 318-675-8695
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All 13 Family Medicine Physician providers in Crawfordville · All 226 providers in Crawfordville
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