Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 23015 | SC |
NPI | 1174582084 |
---|---|
Provider Name | Dr. Jing W Zhang |
First Address | Columbia, SC 29204-2410 |
Second Address | Columbia, SC 29204-2410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2006 |
Last Update Date | 09/10/2007 |