Individual
JENNIFER WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
399 PRATT DR SE UNIT 902, ATLANTA, GA 30315-2174
(609) 576-5908
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
8960
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
06/26/2018
Last updated
05/20/2024
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