Individual
REGINA JIANHUA WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD, STE 202, BERKELEY LAKE, GA 30071
(770) 514-8880
(770) 457-6311
Mailing address
4720 PEACHTREE INDUSTRIAL BLVD, STE 202, BERKELEY LAKE, GA 30071
(404) 819-7261
(770) 457-6311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050568
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00951475A
—
GA
05
—
00951475B
—
GA
Enumeration date
11/02/2005
Last updated
04/28/2026
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