Individual
CAROL C WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4775 JIMMY CARTER BLVD, SUITE 201, NORCROSS, GA 30093-3760
(470) 275-4911
(470) 275-4918
Mailing address
4775 JIMMY CARTER BLVD, SUITE 201, NORCROSS, GA 30093-3760
(470) 275-4911
(470) 275-4918
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN080758
GA
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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