Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CARL EDWARD LONG JR., PA-C
Active Sole ProprietorMR. CARL EDWARD LONG JR., PA-C is a Medical Physician Assistant healthcare provider located in FORT LIBERTY, North Carolina. NPI 1871564815 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · FORT LIBERTY, NC
Registration Details
- NPI Number
- 1871564815
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 28, 2006 (20.55219723485 yrs)
- Last Updated
- Jan 30, 2025
- License
-
1053572
- Sole Proprietor
- Yes
Practice Information
- Address
-
2817 ROCKET MERRITT AVEFORT LIBERTY, NC, 283105005Browse NC providers · Browse ZIP 28310
- Phone
- 9109078922
- Fax
- 9109076069
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in FORT LIBERTY, NC
| Name | Credential | NPI |
|---|---|---|
| DAN HEIDENREICH | PA-C | 1174593636 |
| MRS. MAKISHA TAMSEN OWENS | PA-C | 1538285077 |
| CHRISTOPHER YACULLO | — | 1154744316 |
| MR. JOSHUA PARDO | PHYSICIAN ASSISTANT | 1023489663 |
| JONATHAN MATEN | — | 1215595665 |
| THOMAS WOJAK | PA-C | 1235724014 |
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.