Individual
HAI VAN DANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7640 CLARINGTON CV, SUITE B, SOUTHAVEN, MS 38671-5652
(662) 349-3355
(662) 349-8815
Mailing address
PO BOX 410, SOUTHAVEN, MS 38671-0005
(662) 349-3355
(662) 349-8815
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13499
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114919
—
MS
Enumeration date
08/22/2006
Last updated
03/13/2008
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