Individual
PHILIP WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4331 THURMOND TANNER PRKY, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(678) 513-5836
Mailing address
228 NORTH COLLEGE AVE, HARTWELL, GA 30643
(706) 376-4002
(706) 376-9020
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC006839
GA
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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