Individual
KAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1488 JESSE JEWELL PKWY SE STE 100, GAINESVILLE, GA 30501-3804
(770) 532-7179
Mailing address
1488 JESSE JEWELL PKWY SE STE 100, GAINESVILLE, GA 30501-3804
(770) 532-7179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
71588
GA
Other
Enumeration date
06/16/2010
Last updated
12/03/2019
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