Individual
SAM BRUCE WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 S SHARON AMITY RD STE 200, CHARLOTTE, NC 28211-2886
(704) 344-8846
Mailing address
1072 XRAY DR, STE B, GASTONIA, NC 28054
(704) 671-1094
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101267259
VA
207N00000X
Dermatology Physician
Primary
2020-01159
NC
207ZD0900X
Dermatopathology (Pathology) Physician
2020-01159
NC
Other
Enumeration date
03/26/2015
Last updated
03/22/2026
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