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 |
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| First Enrolment Date : | 15 Apr, 2010 |
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| Last Updated On : | 04 May, 2023 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208M00000X | Hospitalist | No | 2013-02104 | NC |
| 208000000X | Pediatrics | Yes | 2013-02104 | NC |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 200
CHARLOTTE, NC, 28203-5866
United States | CHARLOTTE, NC | 704-381-8840 |
920 CHURCH ST N,
CONCORD, NC, 28025-2927
United States | CONCORD, NC | 704-403-3664 |
105 YADKIN ST, STE 303
ALBEMARLE, NC, 28001-3449
United States | ALBEMARLE, NC | 980-323-5400 |
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 Type | Endpoint | Affiliation | Use | Content | Address |
|---|
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.