Longevity Clinical Ltc Associates of South Carolina, PC
NPI #1184317984 in Anderson, South Carolina
Provider Information
- NPI Number
- 1184317984
- Entity Type
- Organization
- Organization Name
- Longevity Clinical Ltc Associates of South Carolina, PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 611 E HAMPTON ST
- City
- Anderson
- State
- South Carolina
- ZIP Code
- 29624-2814
- Phone
- (864) 226-5054
Authorized Official
- Name
- DIANE L VINCUR
- Title
- LWC PRACTICE MANAGER
- Phone
- (561) 815-2427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
| Nurse Practitioner - Primary Care — Primary Care |
| Family Medicine - Geriatric Medicine — Geriatric Medicine |
| Family Medicine |
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