Individual
ROBERT LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2701 DAVID H MCLEOD BLVD, FLORENCE, SC 29501-4043
(843) 661-5049
Mailing address
11900 US HIGHWAY 280, ELLABELL, GA 31308-3603
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-0474
SC
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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