Individual
FANWEI MENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 GATEWAY CORNERS PARK STE 101, COLUMBIA, SC 29203-8906
(803) 865-2122
(803) 779-3103
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82484
SC
207RB0002X
Obesity Medicine (Internal Medicine) Physician
161469
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780650937
—
NY
Enumeration date
02/27/2006
Last updated
11/09/2020
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