| Dr Paul Long, Llc | |
|
89 Main St Hilton Head SC 29926-6613 | |
| (843) 681-5305 | |
| (843) 689-5210 |
| Full Name | Dr Paul Long, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 89 Main St, Hilton Head, South Carolina |
| Authorized Official Name and Position | Paul M Long (OWNER) |
| Authorized Official Contact | 8436815305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Paul Long, Llc 89 Main St Hilton Head SC 29926-6613 Ph: (843) 681-5305 | Dr Paul Long, Llc 89 Main St Hilton Head SC 29926-6613 Ph: (843) 681-5305 |
| NPI Number | 1205233442 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 7012224819 |
|---|---|
| Medicare Enrollment ID | O20150910002371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205233442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 8178 (South Carolina) | Primary |
| 208D00000X | General Practice | 8178 (South Carolina) | Secondary |
| Provider Name | Paul M Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982798849 PECOS PAC ID: 7911801865 Enrollment ID: I20120223000632 |
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