Individual
WING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8301 FARROW RD, COLUMBIA, SC 29203-3245
(803) 935-6803
Mailing address
103 HUNTCLIFF DR, COLUMBIA, SC 29229-3382
(803) 553-8849
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
740
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54-55558
—
SC
Enumeration date
02/09/2007
Last updated
07/08/2007
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