Individual
DR. DELI WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1105 N LAFAYETTE DR STE B, SUMTER, SC 29150-2913
(803) 934-8221
(803) 666-1263
Mailing address
428 CHIMNEY HILL RD, COLUMBIA, SC 29209-5425
(803) 934-8221
(803) 666-1263
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
21029
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210293
—
SC
Enumeration date
12/24/2006
Last updated
07/08/2007
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