IndividualActive
Valiece Long, M.S.
NPI 1811780646 · Procedural Dermatology Physician · Marietta, GA
Provider details
- NPI number
- 1811780646
- Entity type
- Individual
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.S.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 19340000X (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
750 Chastain Cor
Marietta, GA 30066-8518
Phone: (727) 590-2303
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2343
Clearwater, FL 33757-2343
Registry dates
- Enumerated
- 2025-05-24
- Last updated
- 2025-05-24
- Certified
- 2025-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.