Individual
DR. MATTHEW C. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 626-3067
Mailing address
200 PROVIDENCE RD, SUITE 101, CHARLOTTE, NC 28207-1468
(704) 749-5800
(704) 626-3067
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-02492
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730378134
—
NC
01
—
WANG03
NORTH CAROLINA MEDICAL LICENSE
NC
Enumeration date
10/22/2007
Last updated
03/08/2022
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