Individual
SAN SAN WAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 RAMSEY ST, VA MEDICAL CENTER, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
Mailing address
3611 FOXHILL PL, APT 01, FAYETTEVILLE, NC 28314-2699
(937) 776-9320
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2011-0056
NM
Other
Enumeration date
04/20/2011
Last updated
04/14/2013
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