OLIN IMAN LONGINO

N CHARLESTON, SC
NPI1396216198
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: SC  3139)
Enumeration Date2018-12-06
Last Update Date2024-02-27
Business Address
Mr. OLIN IMAN LONGINO PA-C
2575 ELMS CENTER RD
N CHARLESTON, SC 29406-9875
Phone number: 843-724-1950
Mailing Address
Mr. OLIN IMAN LONGINO PA-C
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 888-472-0043
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