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Individual

SHENG Y WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2258 WRIGHTSBORO RD STE 300, AUGUSTA, GA 30904-4788
(706) 792-5075
(706) 792-5085
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 792-5075
(706) 792-5085

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
059974
GA
207R00000X
Internal Medicine Physician
20274
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
411267986C
GA
Enumeration date
01/26/2006
Last updated
11/01/2021
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