WILLIAM H LONG LLC (NPI# 1902347677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902347677 |
| Entity Type | Organization |
| Organization Name | WILLIAM H LONG LLC |
| Other Organization Name | LONG FAMILY PRACTICE LLC |
| Practice Address |
420a W Carolina Ave Hartsville SC 29550 |
| Mailing Address |
420a W Carolina Ave Hartsville SC 29550-4524 |
| Practice Telephone | 8039682066 |
| Practice Fax Number | 8436398145 |
| Mailing Telephone | 8039682066 |
| Mailing Fax Number | 8436398145 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2018-05-17 |
| Authorized Official Name | WILLIAM H LONG III (PHYSICIAN) |
| Authorized Official Telephone | 8039682066 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD23196 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | GP8306 | 05 |
| Other Name | Type Code |
|---|---|
| Long Family Practice LLC | Doing Business As Name - Organization |
| Street Address |
420A W CAROLINA AVE |
| City | HARTSVILLE |
| State | SC |
| Zip Code | 29550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790391456 | Empire Audiology, LLC | Audiologist | 3536 W Bobo Newsom Hwy, Hartsville, SC 29550 | 2020-09-18 |
| 1386125797 | Caresouth Hha Holdings of Washington, LLC | Hospice Care, Community Based | 696 Medical Park Dr Ste 2, Hartsville, SC 29550 | 2018-08-23 |
| 1740760735 | Danna Dubose Coe | Home Health | 1575 Winding Ridge Drive, Hartsville, SC 29550 | 2018-08-18 |
| 1548748452 | Samantha Elizabeth Kieffer | Counselor | 510 Carolina Ave, Hartsville, SC 29550 | 2018-08-02 |
| 1790277879 | Katarina K Epps | Counselor | 628 E Carolina Ave, Hartsville, SC 29550 | 2018-06-04 |
| 1497245328 | Mary Alice King | Counselor | 513 Woodland Drive, Hartsville, SC 29550 | 2018-05-16 |
| 1003321167 | Mcleod Physician Associates II | Internal Medicine | 1319 South 4th Street, Hartsville, SC 29550 | 2017-12-11 |
| 1821459470 | April S Crawley | Nurse Practitioner | 1 N 2nd St # C05, Hartsville, SC 29550 | 2016-03-10 |
| 1548635873 | Melissa Davis Ellington | Registered Nurse | 900 South 4th Street, Hartsville, SC 29550 | 2015-12-11 |
| 1376919134 | Tracey Rabon | Pharmacist | 1150 S Forth Street, Hartsville, SC 29550 | 2015-08-17 |
| Find all providers in zip 29550 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609197623 | Luz Yolanda Mendez | Family Medicine | 701 Medical Park Dr Ste 207, Hartsville, SC 29550-4778 | 2010-06-14 |
| 1588738744 | Jack W Carey Jr. | Family Medicine | 220 Broadway, Hartsville, TN 37074-1304 | 2006-11-20 |
| 1245337955 | Pee Dee Healthcare Pa | Family Medicine | 214 S 2nd Street, Hartsville, SC 29550 | 2006-09-17 |
| 1760479620 | Carolina Family Practice P A | Family Medicine | 208 Swift Creek Rd, Hartsville, SC 29550-4383 | 2005-10-05 |
| 1679573422 | Kenneth C Evans | Family Medicine | 515 E Carolina Ave, Hartsville, SC 29550-4311 | 2005-07-22 |
| 1720630429 | Brandy Jackson Sinclair | Family Medicine | 708 Medical Park Dr, Hartsville, SC 29550-4765 | 2019-07-12 |
| 1770030926 | Hartsville Medical Associates LLC | Family Medicine | 206 Swift Creek Rd, Hartsville, SC 29550-4383 | 2016-09-06 |
| 1144670266 | Daniel R Conner | Family Medicine | 1268 S 4th St, Hartsville, SC 29550-0703 | 2016-06-20 |
| 1194122598 | Palmetto Family Medicine and Senior Care, LLC | Family Medicine | 420 W Carolina Ave, Hartsville, SC 29550-4524 | 2014-12-01 |
| 1659640803 | Trousdale Physician Practices LLC | Family Medicine | 502 Church St, Hartsville, TN 37074-1744 | 2011-12-16 |
| Find all providers in HARTSVILLE | ||||
| City | HARTSVILLE |
| Zip Code | 29550 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.