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1013266949
ELMER GORDON LONG
COLUMBIA, SC
NPI
1013266949
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 6201)
Enumeration Date
2012-09-06
Last Update Date
2013-02-27
Business Address
Dr. ELMER GORDON LONG MD
1818 HENDERSON ST
COLUMBIA, SC 29201-2619
Phone number: 803-758-2600
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Mailing Address
Dr. ELMER GORDON LONG MD
1410 WILSON RD
NEWBERRY, SC 29108-3050
Phone number: 803-276-2186
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