Dr. Kathleen A. Long
Hematology & Oncology
144 Bill Carruth Pkwy Ste 3100
Hiram
, Georgia 30141-3819
Dr. Kathleen A. Long
Hematology & Oncology
144 Bill Carruth Pkwy Ste 3100
Hiram
, Georgia 30141-3819
(678) 581-7187
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Kathleen A. Long
- 531 Roselane St Nw Ste 710
- Marietta, GA
- Zip : 30060-6975
- Fax : (678) 581-7187
- Phone : (678) 331-3297
Second Address
- Dr. Kathleen A. Long
- 144 Bill Carruth Pkwy Ste 3100
- Hiram, GA
- Zip : 30141-3819
- Fax : (678) 581-7110
- Phone : (678) 363-1940
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 038549 | GA |
National Provider Identifier
| NPI | 1043215403 |
|---|---|
| Provider Name | Dr. Kathleen A. Long |
| First Address | Marietta, GA 30060-6975 |
| Second Address | Hiram, GA 30141-3819 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2005 |
| Last Update Date | 17/04/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000599981AD | (05) | GA |
| 000599981AE | (05) | GA |
| 00599981AB | (05) | GA |
| 00599981D | (05) | GA |
| 00599981F | (05) | GA |
| 00599981G | (05) | GA |
| 009932125 | (05) | AL |
| 0741780009 | SUPPLIER NPI NUMBER (CANTON) (01) | GA |
| 1043215403 | NPI NUMBER (01) | GA |
| 1801924857 | SUPPLIER NPI NUMBER (JASPER) (01) | GA |
| E84748 | (02) | GA |
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.