Long, Cynthia Diane

Long, Cynthia Diane is an individual health care provider with primary practice located at 335 Pleasant Point Dr , Beaufort SC 29907-1164. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Cynthia Diane can be contacted via phone (803) 699-9073.

Contact Information

Primary practice address
335 Pleasant Point Dr Beaufort SC 29907-1164
Phone: (803) 699-9073
Fax: (866) 527-0937
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R34502 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3848 South Carolina

Profile Details

NPI number 1376776302
LBN Legal business name Long, Cynthia Diane
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2009
Last updated Jun 5th, 2013 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376776302 NPPES
South Carolina MEDICAID NP2360

Popular Providers