Individual
NINA WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 684-1975
Mailing address
4101 MACON POND RD, RALEIGH, NC 27607-6319
(919) 684-1975
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
08/01/2021
Last updated
05/20/2024
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