Neurology Specialists Of Ga | |
3859 Postal Dr Ste 100 Duluth GA 30096-3211 | |
(678) 878-2989 | |
(678) 878-2990 |
Full Name | Neurology Specialists Of Ga |
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Speciality | Psychiatry & Neurology |
Location | 3859 Postal Dr Ste 100, Duluth, Georgia |
Authorized Official Name and Position | Dong M Wang (BILLING) |
Authorized Official Contact | 6788782989 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neurology Specialists Of Ga 3859 Postal Dr Ste 100 Duluth GA 30096-3211 Ph: (678) 878-2989 | Neurology Specialists Of Ga 3859 Postal Dr Ste 100 Duluth GA 30096-3211 Ph: (678) 878-2989 |
NPI Number | 1922417633 |
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Provider Enumeration Date | 08/06/2014 |
Last Update Date | 11/08/2023 |
Certification Date | 11/08/2023 |
Medicare PECOS PAC ID | 0941523963 |
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Medicare Enrollment ID | O20141224001213 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922417633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Dong Wang |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1497905913 PECOS PAC ID: 5092953612 Enrollment ID: I20130521000238 |
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