MR. JEFFREY LONGENECKER, PA-C
Physician Assistant - Surgical
Active
Individual
NPI: 1609024140
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | 1655 (TN) |
| Physician Assistant - Medical | 363AM0700X | No | 1655 (TN) |
| Physician Assistant - Surgical | 363AS0400X | Yes | - |
Frequently Asked Questions
NPI 1609024140 is the National Provider Identifier for MR. JEFFREY LONGENECKER, PA-C, a Physician Assistant - Surgical provider located in Athens, TN. This NPI was enumerated on September 8, 2008.
MR. JEFFREY LONGENECKER, PA-C practices at 1114 W MADISON AVE, Athens, TN 37303.
Quick Facts
- NPI
- 1609024140
- Type
- Individual
- Enumerated
- Sep 8, 2008
- Last Updated
- Mar 17, 2018
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