Individual
FANG Q WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(228) 769-1940
(228) 769-9231
Mailing address
4507 HOSPITAL ST, PASCAGOULA, MS 39581-5336
(870) 918-1268
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
28624
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
08/02/2021
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