Individual
LAURA TING-HAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 HALTON VILLAGE CIR, GREENVILLE, SC 29607-6825
(864) 455-1600
(864) 286-5298
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
22843
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
160054743
RR MEDICARE
SC
01
—
5235368
AETNA ID
SC
01
—
576007863038
BCBS OF SC ID
SC
01
—
6621985
CIGNA ID
SC
05
—
T70223
—
SC
Enumeration date
05/30/2006
Last updated
06/16/2021
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