Individual
CONNIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-5428
(843) 792-4531
Mailing address
96 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-4531
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
93946
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
03/27/2026
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