Healthcare Provider Details

I. General information

NPI: 1033051131
Provider Name (Legal Business Name): CLAIRE WANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 WALTER REED DR
GREENSBORO NC
27403-1128
US

IV. Provider business mailing address

1107 BARROW NOOK CT
APEX NC
27502-2202
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-9626
  • Fax:
Mailing address:
  • Phone: 704-903-8249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: