MEDICARE: LAURA TING-HAO WANG 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	207V00000X	Obstetrics & Gynecology Physician	22843	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	160054743	OTHER	SC	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	576007863038	OTHER	SC	BCBS OF SC ID
2	6621985	OTHER	SC	CIGNA ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	5235368	OTHER	SC	AETNA ID

General Provider Information

NPI Number	:	1730136144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA TING-HAO WANG M.D.

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 HALTON VILLAGE CIR
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29607-6825
Country	:	US
Telephone Number	:	864-455-1600
Fax Number	:	864-286-5298

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

Provider Enumeration Date	:	05/30/2006
Last Update Date	:	06/16/2021

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Directions to “ LAURA TING-HAO WANG M.D.” Practice Location

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