MR. OLIN IMAN LONGINO PA-C NPI 1396216198

NPI Information

MR. Olin Iman Longino, PA-C is a surgical physician assistant in N Charleston, SC with 6 years of experience. MR. Olin Iman Longino, PA-C NPI is 1396216198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:2018

The provider's business location address is:

2575 ELMS CENTER RD
N CHARLESTON, SC
ZIP 29406-875
Phone: (843) 724-1950

The NPI 1396216198 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2018 and was last updated on 2/27/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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