Individual
MRS. ASHLEY INABINET LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1301 TAYLOR ST, COLUMBIA, SC 29201-2942
(803) 296-5914
(803) 296-5902
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
17575
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1913
—
SC
Enumeration date
09/14/2011
Last updated
03/09/2023
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