Individual
JOYCE WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
105 LEE DR, ACWORTH, GA 30102-7654
(832) 397-9952
Mailing address
105 LEE DR, ACWORTH, GA 30102-7654
(832) 397-9952
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN245255
GA
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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