Organization
WILLIAM H LONG LLC
Active
Other names
Long Family Practice LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H LONG III MD (PHYSICIAN)
(803) 968-2066
Entity
Organization
Contact information
Practice address
420A W CAROLINA AVE, HARTSVILLE, SC 29550
(803) 968-2066
(843) 639-8145
Mailing address
420A W CAROLINA AVE, HARTSVILLE, SC 29550-4524
(803) 968-2066
(843) 639-8145
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23196
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8306
—
SC
Enumeration date
03/15/2017
Last updated
05/17/2018
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