Long, William H

Long, William H is an individual health care provider with primary practice located at 420 W Carolina Ave , Hartsville SC 29550-4524. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Long, William H can be contacted via phone (843) 917-4977.

Contact Information

Primary practice address
420 W Carolina Ave Hartsville SC 29550-4524
Phone: (843) 917-4977
Fax: (843) 917-4968
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23196 South Carolina

Profile Details

NPI number 1104858489
LBN Legal business name Long, William H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 28th, 2018 - about 6 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 1104858489 NPPES
South Carolina MEDICAID 231966

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