Provider Demographics
NPI:1043507064
Name:LANG, DAVID BRIAN (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:BRIAN
Last Name:LANG
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5249 STANTONSBURG RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-7075
Mailing Address - Country:US
Mailing Address - Phone:252-531-0428
Mailing Address - Fax:
Practice Address - Street 1:613 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2856
Practice Address - Country:US
Practice Address - Phone:252-413-0728
Practice Address - Fax:252-413-0854
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-29
Last Update Date:2015-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02798363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant