Search › South Carolina › 363AS0400X
Jacob Lang, PA-C
NPI 1710515952 · on the registry since 2020
Practice
- Address
- 1506 Spring St
Greenwood, SC 29646 - Phone
- (864) 725-7900
- Fax
- (864) 725-7910
- Organisation at this address
- Self Medical Group
Family Physicians Of Greenwood PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Additional practice sites
- 3437 Caroline St, Saint Louis, MO
- 257 Mcdowell St, Asheville, NC
- 2728 Sunset Blvd Ste 105, West Columbia, SC
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina