Hayden Long, PA
Physician Assistant in Braselton, GA. Individual provider (NPI-1).
NPI number1669167607
StatusActive
Last updated in NPPESOct 18, 2023
Details
- NPI
- 1669167607
- Entity type
- Individual (NPI-1)
- Name
- Hayden Long
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Oct 18, 2023
- Last updated
- Oct 18, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 11726 | GA | Yes |
Practice location
1404 River Pl Ste 401Braselton, GA 30517-5600
Phone 770-848-6190
Mailing address
Po Box 742616Atlanta, GA 30374-2616
Phone 770-219-8420
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All 16 Physician Assistant providers in Braselton · All 439 providers in Braselton
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