OLIN IMAN LONGINO

MT PLEASANT, SC
NPI1396216198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  3139)
Enumeration Date2018-12-06
Last Update Date2025-05-01
Business Address
Mr. OLIN IMAN LONGINO PA-C
3510 HIGHWAY 17 BYP N STE 215
MT PLEASANT, SC 29466-8229
Phone number: 843-402-1766
Mailing Address
Mr. OLIN IMAN LONGINO PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043