Organization
MARIO S. BANGCO, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIO S BANGCO MD (PRESIDENT)
(843) 347-4473
Entity
Organization
Contact information
Practice address
170 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-4473
(843) 347-0290
Mailing address
170 WACCAMAW MEDICAL PARK CT, CONWAY, SC 29526-8965
(843) 347-4473
(843) 347-0290
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17095
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
890195R
NC MCAID GROUP #
NC
01
—
DF8711
RAILROAD MEDICARE
SC
05
—
GP4131
—
SC
Enumeration date
12/12/2006
Last updated
10/04/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us