Individual
DR. TANYING MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Mailing address
145 KIMEL PARK DR STE 120, WINSTON SALEM, NC 27103-6983
(336) 768-3212
(336) 768-9019
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2014011491
MO
207L00000X
Anesthesiology Physician
Primary
2023-00951
NC
207L00000X
Anesthesiology Physician
R1413
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
2014011491
MO
Other
Enumeration date
06/19/2010
Last updated
12/05/2023
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