Individual
JINGCHUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304
(910) 615-4000
(703) 257-4337
Mailing address
5301 VIRGINIA WAY STE 300, BRENTWOOD, TN 37027-7542
(615) 221-4400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200201021
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200201021
NC
Other
Enumeration date
09/06/2005
Last updated
05/28/2019
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