Individual
BRIAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
545 NW FREMONT ST, CAMAS, WA 98607-9003
(360) 984-8907
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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