MEDICARE: DR. FRANK WANG MU M.D.

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
1	207R00000X	Internal Medicine Physician	2017-02606	NC
2	207P00000X	Emergency Medicine Physician	2017-02606	NC
3	207R00000X	Internal Medicine Physician	0101270999	VA
4	207P00000X	Emergency Medicine Physician	MD478931	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952756694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK WANG MU M.D.

Provider Business Mailing Address
First Line	:	501 S SHARON AMITY RD STE 300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-0035
Country	:	US
Telephone Number	:	704-377-2424
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 RANDOLPH RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28211-2921
Country	:	US
Telephone Number	:	704-364-8363
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2016
Last Update Date	:	12/17/2025

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Directions to “ DR. FRANK WANG MU M.D.” Practice Location

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