Individual
CYNTHIA DIANE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
335 PLEASANT POINT DR, BEAUFORT, SC 29907-1164
(803) 699-9073
(866) 527-0937
Mailing address
PO BOX 84068, LEXINGTON, SC 29073-0002
(803) 699-9073
(866) 527-0937
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3848
SC
363LF0000X
Family Nurse Practitioner
R34502
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2360
—
SC
Enumeration date
08/25/2009
Last updated
06/05/2013
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