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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376776302 | NPPES |
| South Carolina | MEDICAID | NP2360 |
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