Individual
JING WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
302 UNIVERSITY PKWY, ATTN: INPATIENT REHAB, AIKEN, SC 29801-6302
(803) 293-4372
(803) 648-1631
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 293-4372
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD82326
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2013
Last updated
05/21/2019
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