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Individual

MICHAEL WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4870 PEACHTREE INDUSTRIAL BLVD STE 600, BERKELEY LAKE, GA 30071-5734
(678) 388-9504
(844) 860-3356
Mailing address
4870 PEACHTREE INDUSTRIAL BLVD STE 600, BERKELEY LAKE, GA 30071-5734
(678) 388-9504
(404) 777-3474

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT010829
GA

Other

Enumeration date
11/28/2012
Last updated
05/17/2021
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