Provider Demographics
NPI:1316903016
Name:LONG, JAMES ARTHUR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ARTHUR
Last Name:LONG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-245-7190
Mailing Address - Fax:540-245-7191
Practice Address - Street 1:70 MEDICAL CENTER CIR
Practice Address - Street 2:SUITE 307
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2273
Practice Address - Country:US
Practice Address - Phone:540-245-7190
Practice Address - Fax:540-245-7191
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-22
Last Update Date:2011-12-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101020610207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA003139OtherANTHEM
VA6061940Medicaid
VA003139OtherANTHEM
VAB06284Medicare UPIN
VAGC1100Medicare PIN