Individual
CHERRY P WONGTRAKOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
(404) 417-1525
Mailing address
1825 GRIST STONE CT NE, ATLANTA, GA 30307-1182
(404) 321-6111
(404) 417-1525
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
053897
GA
Other
Enumeration date
08/11/2006
Last updated
10/09/2024
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