NPI 1053394700

Michael Harrison Long, PAC

Practitioner Physician Assistant Gastonia, NC

Practice location

Address: 870 Summit Crossing Pl, Gastonia, NC 28054
Phone: (704) 323-2000
Mailing address: 4601 Park Rd STE 300, Charlotte, NC 28209-3239

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 101424 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1053394700
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Nov 2005
Record last updated: 27 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.