Provider Demographics
NPI:1861571721
Name:WANG, JI FEI (DOM)
Entity type:Individual
Prefix:MR
First Name:JI FEI
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:DOM
Other - Prefix:MR
Other - First Name:JEFFREY
Other - Middle Name:
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOM, L AC & CH
Mailing Address - Street 1:7810 BALLANTYNE COMMONS PKWY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-3415
Mailing Address - Country:US
Mailing Address - Phone:704-968-0351
Mailing Address - Fax:
Practice Address - Street 1:1430 EBENEZER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2744
Practice Address - Country:US
Practice Address - Phone:803-366-8600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC236171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist