Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Longevity Clinical Ltc Associates of South Carolina, PC

Organization Family Medicine Physician · NPI 1184317984

Longevity Clinical Ltc Associates of South Carolina, PC is a Family Medicine Physician in Anderson, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

611 E Hampton St
Anderson, SC 29624-2814
Phone: (864) 226-5054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Geriatric Medicine (Family Medicine) Physician Taxonomy 207QG0300X
Gerontology Nurse Practitioner Taxonomy 363LG0600X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1184317984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diane Vincur — Lwc Practice Manager · (561) 815-2427
NPI enumeratedMay 30, 2023
Last updated in NPPESMay 30, 2023
Certification dateMay 30, 2023
Mailing address11780 Us Highway 1 Ste N107, North Palm Beach, FL 33408-3007

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