Individual
RONALD J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1306 N FRASER ST, GEORGETOWN, SC 29440
(843) 546-3132
(843) 546-2268
Mailing address
500 PLAZA CIRCLE, SUITE J, CLINTON, SC 29325
(864) 833-3400
(864) 833-9039
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12662
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126624
—
SC
Enumeration date
12/08/2005
Last updated
06/16/2018
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