MR. Edward Larry Long is a student in an organized health care education training program in Macon, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Edward Larry Long NPI is 1336654326. 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:
1501 MERCER UNIVERSITY DR
MACON, GA
ZIP 31207-515
Phone: (478) 301-2652
The enumeration date for this NPI number is 12/12/2017 and was last updated on 12/12/2017.