Dr THERESA G LONG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2004.
RIVERSIDE PHYSICIAN SERVICES INC
10085 WILLIAM F BERNART CIRCLE
NASSAWADOX
VA
23413
Tel: 7574426600
| Npi | 1831300888 |
| Pac Id | 3971665852 |
| Professional Enrollment Id | I20081231000404 |
| Last Name | LONG |
| First Name | THERESA |
| Middle Name | G |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2004 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | RIVERSIDE PHYSICIAN SERVICES INC |
| Group Practice Pac Id | 5092608448 |
| Number Of Group Practice Members | 527 |
| Line 1 Street Address | 10085 WILLIAM F BERNART CIRCLE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | NASSAWADOX |
| State | VA |
| Zip Code | 23413 |
| Phone Number | 7574426600 |
| Hospital Affiliation Ccn 1 | 490037 |
| Hospital Affiliation Lbn 1 | RIVERSIDE SHORE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.