Whalio Doctors

NPI 1003966367

Jian Wu, PA

Practitioner Physician Assistant Spartanburg, SC

Practice location

Address
1250 John B White Sr Blvd, Spartanburg, SC 29306-3929
Phone
(864) 574-0017
Fax
(864) 574-6088
Mailing address
151 Southhall Ln STE 300, Maitland, FL 32751-7176

Registered specialties (2)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1643 (SC)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence C0003206 (MD)

Registry record

NPI
1003966367
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Jan 2007
Record last updated
25 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.