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1306259916
SHANNON ROSE LONG
CHARLESTON, SC
NPI
1306259916
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC 36707)
Enumeration Date
2014-06-11
Last Update Date
2023-12-30
Business Address
Dr. SHANNON ROSE LONG D.O.
325 FOLLY RD STE 102A
CHARLESTON, SC 29412-2507
Phone number: 843-762-1440
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Mailing Address
Dr. SHANNON ROSE LONG D.O.
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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