| NPI Details | |
|---|---|
| NPI | 1003802687 |
| Gender | Male |
| Enumeration Date | 09/20/2005 |
| Last Updated | 04/17/2008 |
| Entity Type | Individual |
| Active | Over 12 years ago |
| Practice Location | |
|---|---|
| 9880 DORCHESTER RD SUMMERVILLE SC, 29485-8545, US |
|
| Phone | (843) 851-0280 |
| Fax | (843) 851-9726 |
| Business Location | |
|---|---|
| 9880 DORCHESTER RD SUMMERVILLE SC, 29485-8545, US |
|
| Phone | (843) 851-0280 |
| Fax | (843) 851-9726 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 152W00000X |
| License State | South Carolina |
| License Number | 886 |
| Remove 1003802687 NPI Number | |
According to our database, David W Bang OD NPI is 1003802687, taxonomy code is 152W00000X and license number is 886, license state is located at South Carolina. David W Bang OD physically located at 9880 Dorchester Rd, Summerville SC, 29485-8545. NPI Number David W Bang OD has the Individual type.
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1003802687 NPI number is provided on an as is basis without warranty of any kind. 1003802687 is maintained by the National Plan & Provider Enumeration System. The contents of David W Bang OD are for informational purposes only.
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