| Doctor Name: | XIAO WANG |
| NPI Number: | 1770955841 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3185 Pin Oak Way Doraville, GA - 303402527 |
| Business Phone Number: | 2142956703 |
| Business Fax Number: | |
| Mailing Address: | 3185 Pin Oak Way, DORAVILLE |
| State: | GA |
| Postal Code: | 303402527 |
| Phone Number: | 2142956703 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2015 |
| NPI Last Update Date: | 10/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246ZE0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Specialist/Technologist, Other |
| Taxonomy Specialization: | Electroneurodiagnostic |
| Taxonomy Definition: | |