Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 050490 | GA |
Y | 2086X0206X | Surgical Oncologist | 27926 | AL |
NPI | 1467563486 |
---|---|
Provider Name | Thomas N Wang |
First Address | Birmingham, AL 35255-5310 |
Second Address | Birmingham, AL 35233 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 15/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00913481A | (05) | GA |
009940822 | (05) | AL |
009940823 | (05) | AL |
02033841 | (05) | MS |
051538710 | BCBS (01) | AL |
051538711 | BCBS (01) | AL |
630649108 | FIRST HEALTH (01) | AL |
630649108 | MULTIPLAN (01) | AL |
630649108 | PHCS (01) | AL |
630649108 | USA (01) | AL |
G50490 | (05) | SC |
H00608 | (02) | |
H00608 | VIVA (01) | AL |