Individual
HANPING WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-7101
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
85552
GA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
85552
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85552
GA MEDICAL LICENSE
GA
Enumeration date
03/28/2014
Last updated
04/27/2020
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