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9565 Highway 78, Building 900, Ladson, SC 29456-3912 | |
(843) 764-3030 | |
(843) 851-7448 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 9565 Highway 78, Ladson, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538323654 | NPI | - | NPPES |
DG8451 | Other | SC | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | David W Bang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003802687 PECOS PAC ID: 2466515424 Enrollment ID: I20100216000158 |
Provider Name | Kimberly M Hunt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851763726 PECOS PAC ID: 6507132065 Enrollment ID: I20171027001403 |
Mailing Address | Practice Location Address |
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602 Fairington Dr, Summerville, SC 29485-8675 Ph: (843) 764-3030 | 9565 Highway 78, Building 900, Ladson, SC 29456-3912 Ph: (843) 764-3030 |
Dr. David W. Bang, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9565 Highway 78, Bldg 900, Ladson, SC 29456 Phone: 843-824-3937 Fax: 843-725-1434 |