Most Relevant Information
Provider Data
| NPI Number: | 1003467812 |
| Provider Name: | PAIGE LONG |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/23/2019 |
| Last Updated: | 02/13/2023 |
Provider Practice Location
101 JUDGE TANNER BLVD STE 300
COVINGTON
LA
704337506
Practice Location Phone/Fax
| Phone: | 9858888750 |
| Fax: | 9858888760 |
Provider Mailing Location
101 JUDGE TANNER BLVD STE 300
COVINGTON
LA
704337506
Provider Mailing Phone/Fax
| Phone: | 9858888750 |
| Fax: | 9858888760 |