Healthcare Provider Details

I. General information

NPI: 1508001876
Provider Name (Legal Business Name): WEI HUANG M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WEI HUANG M.D

II. Dates (important events)

Enumeration Date: 12/15/2008
Last Update Date: 04/23/2021
Certification Date: 04/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10305 HAMPTONS PARK DRIVE SUITE 201
HUNTERSVILLE NC
28078-7217
US

IV. Provider business mailing address

6035 FAIRVIEW RD
CHARLOTTE NC
28210-3256
US

V. Phone/Fax

Practice location:
  • Phone: 704-295-3600
  • Fax: 704-892-3181
Mailing address:
  • Phone: 704-295-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2012-01066
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: