Individual
AN-KWOK WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
615 MICHAEL ST NE STE 205-M, ATLANTA, GA 30322-1007
(404) 712-2973
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
2021-00697
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
11/19/2021
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