Individual
WILLIAM TUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4904 TIMBER RIDGE DRIVE, SUITE 305, DOUGLASVILLE, GA 30135
(678) 501-5420
(678) 501-5427
Mailing address
1770 HIGH TRL, ATLANTA, GA 30339-5617
(770) 953-3603
(770) 892-9206
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
053409
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I35563
MEDICARE ID-TYPE UNSPECIFIED
GA
Enumeration date
07/26/2006
Last updated
08/14/2013
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