Long, Kashiti Genikka Nicole
Long, Kashiti Genikka Nicole is an individual health care provider with primary practice located at 1935 Holbrook Rd Ste 1200, Fort Mill SC 29715-9675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Long, Kashiti Genikka Nicole can be contacted via phone (803) 802-5181.Contact Information
Primary practice address
1935 Holbrook Rd Ste 1200
Fort Mill SC 29715-9675
Phone: (803) 802-5181
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 40704 | South Carolina |
Profile Details
| NPI number | 1720498686 |
|---|---|
| LBN Legal business name | Long, Kashiti Genikka Nicole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2014 |
| Last updated | Jul 15th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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