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NPI Code Detail

MEDICARE: GENG WU

MEDICARE: GENG WU
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistLAC-1004NC

General Provider Information

NPI Number : 1508332321
Entity Type Code : Individual
Provider Name (Legal Business Name) : GENG WU
Provider Business Mailing Address
First Line : 12048 WICKER DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27517-7448
Country : US
Telephone Number : 919-593-6715
Fax Number :
Provider Business Practice Location Address
First Line : 3319 DURHAM CHAPEL HILL BLVD
Second Line :
City : DURHAM
State : NC
Zip : 27707-2650
Country : US
Telephone Number : 919-523-9108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2018
Last Update Date : 10/18/2018

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Directions to “ GENG WU ” Practice Location

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