Provider Demographics
NPI:1013971654
Name:LONG, RONALD MORGAN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:MORGAN
Last Name:LONG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1208 PARKWAY DR STE C
Mailing Address - Street 2:
Mailing Address - City:GOLDSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27534-9432
Mailing Address - Country:US
Mailing Address - Phone:919-751-8444
Mailing Address - Fax:919-751-0890
Practice Address - Street 1:1208 PARKWAY DR
Practice Address - Street 2:SUITE C
Practice Address - City:GOLDSBORO
Practice Address - State:NC
Practice Address - Zip Code:27534-9432
Practice Address - Country:US
Practice Address - Phone:919-751-8444
Practice Address - Fax:919-751-0890
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC28258207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8952593Medicaid
NCP00459840OtherRAILROAD MEDICARE
NCC85208Medicare UPIN
NC8952593Medicaid