Individual
WENDY MUI VONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4072 ATLANTA HWY, LOGANVILLE, GA 30052-2297
(678) 905-0236
Mailing address
366 KILLIAN HILL RD SW, LILBURN, GA 30047-4065
(678) 814-5482
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10828
GA
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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