Cynthia Diane Long, FNP | |
335 Pleasant Point Dr, Beaufort, SC 29907-1164 | |
(803) 699-9073 | |
(866) 527-0937 |
Full Name | Cynthia Diane Long |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 335 Pleasant Point Dr, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376776302 | NPI | - | NPPES |
NP2360 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R34502 (North Dakota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3848 (South Carolina) | Primary |
Entity Name | Optimal Health And Wellness, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851944532 PECOS PAC ID: 7315374410 Enrollment ID: O20200303000074 |
Mailing Address | Practice Location Address |
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Cynthia Diane Long, FNP Po Box 84068, Lexington, SC 29073-0002 Ph: (803) 699-9073 | Cynthia Diane Long, FNP 335 Pleasant Point Dr, Beaufort, SC 29907-1164 Ph: (803) 699-9073 |
Marjorie Sapp, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 694 Paige Dr, Beaufort, SC 29906 Phone: 843-524-4504 | |
Mathew Robert Loe, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5505 | |
Taylor D Robinson, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5200 | |
Angela Mae Riddle, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 335 Pleasant Point Dr, Beaufort, SC 29907 Phone: 803-699-9073 Fax: 866-527-0937 | |
Alice Armstrong Zengel, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Attn:prof Affairs Coordinator, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 | |
Anna Christine Bennett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22 Robert Smalls Pkwy, Beaufort, SC 29906 Phone: 843-510-6550 Fax: 843-510-6555 | |
Jessica Moore Lowther, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Midtown Dr, Beaufort, SC 29906 Phone: 843-379-7746 Fax: 843-522-1275 |