Organization
ON-SITE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J LONG (OWNER)
(864) 419-7333
Entity
Organization
Contact information
Practice address
101 BENNINGTON WAY, GREER, SC 29650-4009
(864) 322-7333
(864) 244-1986
Mailing address
PO BOX 25686, GREENVILLE, SC 29616-0686
(864) 322-7333
(864) 244-1986
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
SC
Other
Enumeration date
12/30/2009
Last updated
12/30/2009
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