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Individual

WHITNEY LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9313 MEDICAL PLAZA DR STE 202, N CHARLESTON, SC 29406-9176
(843) 572-1200
(843) 553-0424
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 695-6071
(843) 569-5879

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25140
SC

Other

Enumeration date
09/15/2021
Last updated
09/15/2021
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