Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | BP10032931 | TX |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 2011-01558 | NC |
NPI | 1033371240 |
---|---|
Provider Name | Weili Chang |
First Address | Charlotte, NC 28275-1069 |
Second Address | Greenville, NC 27834-2818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2008 |
Last Update Date | 09/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1033371240 | (05) | NC |
18646 | BCBS NC (01) | NC |