Individual
BROOKE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 226-7636
Mailing address
2000 E GREENVILLE ST, ANDERSON, SC 29621-1580
(864) 512-7636
(864) 512-3641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26423
SC
Other
Enumeration date
08/22/2022
Last updated
11/23/2022
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