| NPI | 1902347677 |
|---|---|
| Doing Business As | LONG FAMILY PRACTICE LLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM H LONG Physician 803-968-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC MD23196) |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-05-17 |