Individual
TONG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 W PEACHTREE ST, NORCROSS, GA 30071-1868
(770) 246-6100
Mailing address
3860 SEATON DR, SUWANEE, GA 30024-6658
(678) 865-9663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN211617
GA
Other
Enumeration date
10/09/2023
Last updated
09/25/2024
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