Individual
DR. GERALD JIA-WEN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1900 10TH AVE, COLUMBUS, GA 31901-3600
(706) 571-1120
Mailing address
1713 JACKSON TER, JOHNSON CITY, TN 37604-7628
(423) 218-8144
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
04/05/2023
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