Individual
DR. ELMER GORDON LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(803) 758-2600
(803) 253-8896
Mailing address
1410 WILSON RD, NEWBERRY, SC 29108-3050
(803) 276-2186
(803) 276-2630
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
6201
SC
Other
Enumeration date
09/06/2012
Last updated
02/27/2013
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