Individual
DR. DIANE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1200
(404) 778-2020
Mailing address
1365 CLIFTON RD NE BLDG B, ATLANTA, GA 30322-1013
(404) 778-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
32807
WV
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
103295
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
05/07/2025
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