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Individual

ANDREW WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1057 MORNINGSIDE DR, PERRY, GA 31069-2903
(478) 218-1801
Mailing address
4300 N POINT PKWY STE 300, ALPHARETTA, GA 30022-4102

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
079256
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003167609B
GA
Enumeration date
03/26/2014
Last updated
04/24/2025
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