Individual
SANDY PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3765 OXFORD CIR, ATLANTA, GA 30340-7700
(843) 754-6056
Mailing address
3765 OXFORD CIR, ATLANTA, GA 30340-7700
(843) 754-6056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9888
GA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/28/2019
Last updated
09/02/2021
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