Grace Wan

MD | Pediatrics | Female

Grace Wan, MD is a Charlotte, North Carolina based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Grace Wan is 1350 S Kings Dr, Charlotte, North Carolina - 28207-2134. She can be contacted on phone at 704-446-1422. Grace Wan is a sole proprietor of her business.
NPI number (Unique professional ID) for Grace Wan is 1659697621 which was assigned by NPPES on 15 Apr, 2010 and it was last updated on 04 May, 2023. Grace Wan license number is 2013-02104 for Pediatrics (208000000X) in North Carolina.
Grace Wan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Grace Wan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Grace Wan
Credential :MD
Gender :Female
Business Address:
Grace Wan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :1350 S Kings Dr
Charlotte, NC, 28207-2134
United States
Phone Number :704-446-1422
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1659697621
NPI Entity Type : Individual
First Enrolment Date : 15 Apr, 2010
Last Updated On : 04 May, 2023
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grace Wan are as mentioned. Primary taxonomy code for Grace Wan, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208M00000XHospitalistNo2013-02104NC
208000000XPediatricsYes2013-02104NC
Other Practice Locations:
Practice AddressCity, StatePhone Number
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States
CHARLOTTE, NC704-381-8840
920 CHURCH ST N,
CONCORD, NC, 28025-2927
United States
CONCORD, NC704-403-3664
105 YADKIN ST, STE 303
ALBEMARLE, NC, 28001-3449
United States
ALBEMARLE, NC980-323-5400
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
gwan499898@CarolinasHealthcareSystem.direct-ci.com





1350 S Kings Dr,
Charlotte, NC, 28207-2134
United States
CONNECT
(CONNECT URL)
https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service

2.16.840.1.113883.3.667.2
OTHER
Other
CMS esMD eMDR


100 N 6th St Ste 900A,
Minneapolis, MN, 55403-1516
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 19305
Charlotte, NC, 28219-9305
United States
Business Location:
Patients can refer following map for directions to Grace Wan practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.