Individual
HAIQIU ELAINE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 S GERMANTOWN PKWY, SUITE 105B, CORDOVA, TN 38018-4387
(901) 343-0180
(901) 590-0349
Mailing address
420 S GERMANTOWN PKWY, SUITE 105B, CORDOVA, TN 38018-4387
(901) 343-0180
(901) 590-0349
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37771
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3703214
—
TN
05
—
Q006833
—
TN
Enumeration date
07/28/2006
Last updated
03/02/2017
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