Individual
DR. TERRY L. BANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 JEFFERSON ST., SUITE 200, LAUREL, MS 39440-4306
(601) 649-3520
(601) 649-7899
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6169
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24870
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2014
Last updated
01/06/2020
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