Individual
RONGRONG FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 771-5500
(828) 257-4750
Mailing address
119 HENDERSONVILLE RD, ASHEVILLE, NC 28803-2868
(828) 771-5500
(828) 257-4750
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2011-01261
NC
207VG0400X
Gynecology Physician
2011-01261
NC
207VX0000X
Obstetrics Physician
2011-01261
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154653723
—
NC
01
—
NCD535A
PTAN
NC
Enumeration date
02/08/2010
Last updated
06/25/2020
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