Healthcare Provider Details

I. General information

NPI: 1629272455
Provider Name (Legal Business Name): DR. WILLIAM WEI-TING HUANG
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/29/2024
Certification Date: 07/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 CORPORATE CIR
SALISBURY NC
28147-8074
US

IV. Provider business mailing address

335 PENNY LN
CONCORD NC
28025-1221
US

V. Phone/Fax

Practice location:
  • Phone: 704-784-5901
  • Fax: 336-716-9258
Mailing address:
  • Phone: 704-784-5901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2011-01219
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: