Organization
DR. DAVID W. BANG, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W BANG OD (OWNER)
(843) 824-3937
Entity
Organization
Contact information
Practice address
9565 HIGHWAY 78, BLDG 900, LADSON, SC 29456-3912
(843) 824-3937
(843) 725-1434
Mailing address
9565 HIGHWAY 78, BLDG 900, LADSON, SC 29456-3912
(843) 824-3937
(843) 725-1434
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
09/28/2007
Last updated
03/10/2010
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