IndividualActive
Jacob Wang, MD
NPI 1487064663 · Pain Medicine (Anesthesiology) Physician · Charlotte, NC
Provider details
- NPI number
- 1487064663
- Entity type
- Individual
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2019-00099 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2801 Randolph Rd Ste 100
Charlotte, NC 28211-1051
Phone: (704) 367-4800
Fax: (704) 316-3025
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 60447
Charlotte, NC 28260-0447
Additional practice locations (1)
- 10 3rd Ave Ne Ste 200Hickory, NC 28601-5044Phone: (828) 327-8105Fax: (828) 327-4245
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2021-08-13
- Certified
- 2021-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.