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

Jacob Long

Individual provider Pediatrics Physician · NPI 1790356442

Jacob Long is a Pediatrics Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

701 Grove Rd
Greenville, SC 29605-4210
Phone: (864) 455-7895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence LL89833 (SC)

Record details

NPI number1790356442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 4, 2021
Last updated in NPPESJune 28, 2023
Certification dateJune 28, 2023

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