GRACE WAN

CHARLOTTE, NC
NPI1659697621
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NC  2013-02104)
Additional Taxonomies208M00000X Hospitalist
(Licence: NC  2013-02104)
Enumeration Date2010-04-15
Last Update Date2024-07-15
Business Address
GRACE WAN MD
1350 S KINGS DR
CHARLOTTE, NC 28207-2134
Phone number: 704-446-1422
Mailing Address
GRACE WAN MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number: