NPI 1447229141 · live from the CMS NPI Registry
Mario S Bangco, MD
Psychiatry & Neurology, Neurology in Conway, SC. National Provider Identifier 1447229141, active.
NPI record
| NPI | 1447229141 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 8024 Myrtle Trace Dr, Conway, SC 29526 |
| Practice phone | 843-234-8950 |
| Mailing address | 300 Singleton Ridge Rd, Attention Patient Accounting, Conway, SC 29526 |
| Enumerated | March 15, 2006 |
| Last updated | March 19, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 17095 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.