Individual
LINA S HWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3555 CENTERVILLE HWY STE 100, SNELLVILLE, GA 30039-6457
(770) 985-9957
Mailing address
3205 WOODWARD CROSSING BLVD STE F1039, BUFORD, GA 30519-4938
(718) 717-2266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
221779
NY
207Q00000X
Family Medicine Physician
221779-1
NY
207Q00000X
Family Medicine Physician
51110
CT
207Q00000X
Family Medicine Physician
Primary
91697
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00244977
—
NY
05
—
02404497
—
NY
01
—
488AD1
EMPIRE BC BS
NY
01
—
6D0951
B/C B/S
NY
Enumeration date
04/08/2006
Last updated
09/22/2022
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