Doctor Name: | MS. MYTRANG T DANG |
NPI Number: | 1417135401 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 104212 |
Business Practice Address: | 3436 N Main St Hope Mills, NC - 283481834 |
Business Phone Number: | 9104267337 |
Business Fax Number: | 9104241418 |
Mailing Address: | Po Box 647, HOPE MILLS |
State: | NC |
Postal Code: | 283480647 |
Phone Number: | 9104837337 |
Fax Number: | 9104830648 |
NPI Enumeration Date: | 02/01/2008 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 104212 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |