Individual
WILLIAM H LONG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420 W CAROLINA AVE, HARTSVILLE, SC 29550-4524
(843) 917-4977
(843) 917-4968
Mailing address
420 W CAROLINA AVE, HARTSVILLE, SC 29550-4524
(843) 917-4977
(843) 639-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231966
—
SC
Enumeration date
07/07/2006
Last updated
03/28/2018
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