Individual
DR. YOLANDA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(843) 236-2700
Mailing address
5010 CAROLINA FOREST BLVD, MYRTLE BEACH, SC 29579-3579
(412) 647-3407
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP0000924C
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5794
—
SC
Enumeration date
04/19/2016
Last updated
01/08/2020
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