James Wan is a Vascular Surgery in Lawrenceville, Georgia. James Wan practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for James Wan is 1528017068. The last update date is 2018-03-17.
James Wan's current location address is 771 Old Norcross Rd, Lawrenceville, Georgia. You can contact this provider via phone number 6783767399 and fax number 6783767398. The mailing address for James Wan is 771 Old Norcross Rd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Wan |
|---|---|
| Address | 771 Old Norcross Rd, Lawrenceville, Georgia |
| Phone Number | 6783767399 |
| Fax Number | 6783767398 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1528017068 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 771 Old Norcross Rd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300464386 |
| Phone Number | 6783767399 |
| Fax Number | 6783767398 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 58878 |
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Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003188705B | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to James Wan by the Centers for Medicare & Medicaid Services?
The James Wan has been assigned the NPI (National Provider Identifier) 1528017068 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of James Wan?
The James Wan is situated at 771 Old Norcross Rd, in the city of Lawrenceville, state of GA, with the zip code 300464386.
What is the James Wan's specialty and taxonomy code?
The James Wan's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
On what date was the 1528017068 assigned to James Wan?
The James Wan was issued its 1528017068 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to James Wan last refreshed?
The information related to the James Wan, including its address, specialty, and other relevant details, was last updated on 2018-03-17.