Individual
DENNIS J. LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
115 N SUMTER ST, SUITE 410, SUMTER, SC 29150-4972
(803) 883-5171
(803) 305-1814
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7162
(843) 777-7102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
1164
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011640
—
SC
01
—
0655422
CIGNA
SC
01
—
266003
MEDCOST
SC
01
—
30150986
SELECT HEALTH
SC
01
—
929530
WELLCARE
SC
01
—
AA30048552
MEDICARE PTAN
SC
01
—
P01232420
RAILROAD MEDICARE
SC
Enumeration date
04/20/2007
Last updated
02/08/2021
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