JOSEPH BLAKE LONG MD NPI 1578679197

NPI Information

NPI: 1578679197
Provider Name: JOSEPH BLAKE LONG, MD
Classification: Pediatrics - 2080P0202X
Entity Type: Individual

Specialization: Pediatric Cardiology

Address:
4750 WATERS AVE
SUITE 512
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-8085
Get Directions

Joseph Blake Long, MD is a pediatric cardiology pediatrics in Savannah, GA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. Joseph Blake Long, MD NPI is 1578679197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4750 WATERS AVE
SUITE 512
SAVANNAH, GA
ZIP 31404-200
Phone: (912) 350-8085
Fax: (912) 350-3703

The enumeration date for this NPI number is 8/23/2006 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology	040143	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G07167	MEDICARE UPIN	GEORGIA
2	000666322A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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