Long, Lesle D.

Long, Lesle D. is an individual health care provider with primary practice located at 89A Sonia Dr , Greer SC 29650-4540. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Long, Lesle D. can be contacted via phone (864) 530-0300.

Contact Information

Primary practice address
89A Sonia Dr Greer SC 29650-4540
Phone: (864) 530-0300
Fax: (864) 530-0304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 17555 South Carolina

Profile Details

NPI number 1528045069
LBN Legal business name Long, Lesle D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2005
Last updated Apr 30th, 2013 - about 12 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1528045069 NPPES
South Carolina MEDICAID 140181
South Carolina MEDICAID 175553

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