Individual
DR. GREGORY BENJAMIN ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 GLENLAKE PKWY, KAISER PERMANENTE GLENLAKE MEDICAL OFFICE, ATLANTA, GA 30328-3473
(404) 250-6400
(404) 250-6405
Mailing address
3495 PIEDMONT RD NE, THE SOUTHEAST PERMANENTE MEDICAL GROUP, ATLANTA, GA 30305-1717
(404) 364-7070
(404) 250-6405
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
200300550
NC
207RC0000X
Cardiovascular Disease Physician
Primary
59361
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
526802771A
—
GA
05
—
526802771B
—
GA
Enumeration date
06/04/2007
Last updated
01/13/2022
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