SHANNON ROSE LONG

CHARLESTON, SC
NPI1306259916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: SC  36707)
Enumeration Date2014-06-11
Last Update Date2023-12-30
Business Address
Dr. SHANNON ROSE LONG D.O.
325 FOLLY RD STE 102A
CHARLESTON, SC 29412-2507
Phone number: 843-762-1440
Mailing Address
Dr. SHANNON ROSE LONG D.O.
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620