IndividualActive
Brian Long, MD
NPI 1760446181 · Ophthalmology Physician · Fayetteville, GA
Provider details
- NPI number
- 1760446181
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 043413 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
340 Brandywine Blvd
Fayetteville, GA 30214-1562
Phone: (770) 719-7950
Fax: (770) 460-1739
Approximate (ZIP-level) locationGet directions
Mailing address
3225 Cumberland Blvd Se
Atlanta, GA 30339-6407
Registry dates
- Enumerated
- 2006-04-13
- Last updated
- 2019-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.