Individual
DR. DAVID LYNN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1330 TAYLOR ST, COLUMBIA, SC 29201-2915
(803) 708-8126
(803) 708-1370
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
(240) 566-1600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14626
SC
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
14626
SC
207LP2900X
Pain Medicine (Anesthesiology) Physician
14626
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050028875
RR MEDICARE
SC
01
—
146265
SELECT HEALTH
SC
05
—
146265
—
SC
01
—
2001249
CCP
SC
01
—
4229859
AETNA
SC
01
—
77842
MEDCOST
SC
Enumeration date
10/16/2006
Last updated
02/08/2021
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