Organization
NISSI FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGA NGWANG MD (OWNER/MEDICAL DIRECTOR)
(678) 540-7597
Entity
Organization
Contact information
Practice address
1810 MULKEY RD, SUITE 105, AUSTELL, GA 30106-1151
(678) 540-7597
(770) 645-9802
Mailing address
1810 MULKEY RD, SUITE 105, AUSTELL, GA 30106-1151
(678) 540-7597
(770) 645-9802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/16/2014
Last updated
11/16/2014
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