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Individual

DR. ROBERT LONGSTAFFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, FRCSC

Contact information

Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 680-4923
Mailing address
108 CHANDLER CREST COURT, GREER, SC 29651

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD61279LL
SC

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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