Dr. Jodi Long
Physical Therapist - Sports
1675 Cumberland Pkwy Se Ste 305
Smyrna
, Georgia 30080-6360
Dr. Jodi Long
Physical Therapist - Sports
1675 Cumberland Pkwy Se Ste 305
Smyrna
, Georgia 30080-6360
(404) 785-4271
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About
Features
Specialties
- Physical Therapist - Sports
Languages spoken
- English
Location
First Address
- Dr. Jodi Long
- 1675 Cumberland Pkwy Se Ste 305
- Smyrna, GA
- Zip : 30080-6360
- Phone : (404) 785-4271
Second Address
- Dr. Jodi Long
- 1675 Cumberland Pkwy Se Ste 305
- Smyrna, GA
- Zip : 30080-6360
- Phone : (404) 785-4271
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251S0007X | Physical Therapist - Sports | PT011577 | GA |
National Provider Identifier
| NPI | 1528695780 |
|---|---|
| Provider Name | Dr. Jodi Long |
| First Address | Smyrna, GA 30080-6360 |
| Second Address | Smyrna, GA 30080-6360 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2020 |
| Last Update Date | 26/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.