Individual
MRS. TAMIKA RENEE LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PA-C
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017971
NY
363A00000X
Physician Assistant
Primary
2526
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2582PA
—
SC
01
—
SC81565019
MEDICARE PIN
SC
Enumeration date
09/12/2014
Last updated
09/15/2025
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