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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BENJAMIN LONG, ATC

Active

MR. BENJAMIN LONG, ATC is a Athletic Trainer healthcare provider located in BRANDON, Mississippi. NPI 1730411398 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · BRANDON, MS

Registration Details

NPI Number
1730411398
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2010 (16.48781664845 yrs)
Last Updated
Feb 8, 2010
License
AT0487 (MS)

Practice Information

Address
314 SILTSTONE RDG
BRANDON, MS, 390476377
Browse MS providers · Browse ZIP 39047
Phone
6013978767
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in BRANDON, MS

Name Credential NPI
FAITH NICOLE SMITH PTA, LAT, ATC 1518367358
BLAKE HARRISON HINES ATC, NASM-PES, MA 1821486218
CHRISTOPHER CODY GARCIA 1790214450
RICKY LYNN CLARK 1639608136
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.