Individual
DR. JACOB WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 RANDOLPH RD STE 100, CHARLOTTE, NC 28211-1051
(704) 367-4800
(704) 316-3025
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2019-00099
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2019-00099
NC
Other
Enumeration date
04/28/2014
Last updated
08/13/2021
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