Individual
JIAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1250 JOHN B WHITE SR BLVD, SPARTANBURG, SC 29306-3929
(864) 574-0017
(864) 574-6088
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1643
SC
363AS0400X
Surgical Physician Assistant
C0003206
MD
Other
Enumeration date
01/11/2007
Last updated
06/25/2015
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