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Contact Information

RONALD J LONG, MD
1306 N FRASER ST
GEORGETOWN, SC29440
 Phone: 843-546-3132
 Fax: 843-546-2268
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for RONALD J LONG · (Male)

NPI # 1033194337
Status Active
Credentials MD
Entity Individual
Enumeration date 12/08/2005
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 12662
  • SC Medicaid 126624
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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