Individual
WILLIAM LEO FANGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
937 COX RD, GASTONIA, NC 28054-3455
(704) 898-8014
(704) 898-8018
Mailing address
1072 X RAY DR, GASTONIA, NC 28054-7498
(704) 691-1074
(704) 671-1095
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
200201075
NC
207N00000X
Dermatology Physician
ME100630
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
2019-00293
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280314300
—
FL
05
—
5904546
—
NC
Enumeration date
08/16/2006
Last updated
04/30/2026
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