Organization
DR. DAVID W. BANG, P.C.
Active
Parent organization
DR. DAVID W. BANG, P.C.
Other names
EXPERIENCED EYECARE,LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. DAVID W. BANG, P.C.
Authorized official
MRS. TAMMY LYNNE HALE-BANG (PRACTICE ADMINISTRATOR)
(843) 764-3030
Entity
Organization
Contact information
Practice address
9565 HIGHWAY 78, BUILDING 900, LADSON, SC 29456-3912
(843) 764-3030
(843) 851-7448
Mailing address
602 FAIRINGTON DR, SUMMERVILLE, SC 29485-8675
(843) 764-3030
(843) 851-7448
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DG8451
RR MEDICARE
SC
Enumeration date
07/17/2008
Last updated
07/30/2008
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