Provider Demographics
NPI:1417543091
Name:LONG, SHARON COX (RN)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:COX
Last Name:LONG
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1525 GRAN FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7604
Mailing Address - Country:US
Mailing Address - Phone:770-313-3162
Mailing Address - Fax:
Practice Address - Street 1:1525 GRAN FOREST DR
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7604
Practice Address - Country:US
Practice Address - Phone:770-313-3162
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care