Wang, Gordon G

Wang, Gordon G is an individual health care provider with primary practice located at 2010 Church St Ste 420 , Nashville TN 37203-2037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Wang, Gordon G can be contacted via phone (615) 329-2141.

Contact Information

Primary practice address
2010 Church St Ste 420 Nashville TN 37203-2037
Fax: (615) 321-0522
Website:

Profile Details

NPI number 1972525194
LBN Legal business name Wang, Gordon G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972525194 NPPES
Florida Other ME92311 FLORIDA LICENSE
Florida MEDICAID Q018779 FLORIDA LICENSE

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