Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 22915 | SC |
NPI | 1003922485 |
---|---|
Provider Name | Daoling Zhang |
First Address | Orangeburg, SC 29116-1226 |
Second Address | Orangeburg, SC 29115-4922 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/08/2006 |
Last Update Date | 09/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
229158 | (05) | SC |
G90697 | (02) | SC |