Individual
SENG P PANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
340 GETWELL ST, MARKS, MS 38646-9785
(662) 902-7531
Mailing address
PO BOX 1724, CLARKSDALE, MS 38614-8524
(662) 627-5183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R710121
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09207801
—
MS
Enumeration date
10/09/2007
Last updated
02/13/2009
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