Individual
DR. GORDON G WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 CHURCH ST STE 420, NASHVILLE, TN 37203-2037
(615) 329-2141
(615) 321-0522
Mailing address
104 WOODMONT BLVD STE LL50, NASHVILLE, TN 37205-2382
(615) 386-2361
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
39750
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
ME92311
FL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
P1245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME92311
FLORIDA LICENSE
FL
05
—
Q018779
—
TN
Enumeration date
07/24/2006
Last updated
07/21/2022
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