Individual
JACK C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(330) 493-4443
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.124282
IL
207P00000X
Emergency Medicine Physician
Primary
200300914
NC
207P00000X
Emergency Medicine Physician
220345
NY
207P00000X
Emergency Medicine Physician
35.098435
OH
207P00000X
Emergency Medicine Physician
MD444249
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89134JM
—
NC
Enumeration date
02/08/2007
Last updated
05/28/2025
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