Individual
XIAO WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3185 PIN OAK WAY, DORAVILLE, GA 30340-2527
(214) 295-6703
Mailing address
3185 PIN OAK WAY, DORAVILLE, GA 30340-2527
(214) 295-6703
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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