William W. Tung Md P.c. | |
2713 Charles Hardy Pkwy Ste 221 Dallas GA 30157-9470 | |
(678) 501-5420 | |
(678) 501-5427 |
Full Name | William W. Tung Md P.c. |
---|---|
Speciality | Psychiatry & Neurology |
Location | 2713 Charles Hardy Pkwy Ste 221, Dallas, Georgia |
Authorized Official Name and Position | William W Tung (PHYSICIAN) |
Authorized Official Contact | 7709533603 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
William W. Tung Md P.c. 1770 High Trl Atlanta GA 30339-5617 Ph: (770) 953-3603 | William W. Tung Md P.c. 2713 Charles Hardy Pkwy Ste 221 Dallas GA 30157-9470 Ph: (678) 501-5420 |
NPI Number | 1861705196 |
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Provider Enumeration Date | 07/15/2010 |
Last Update Date | 12/03/2024 |
Certification Date | 12/03/2024 |
Medicare PECOS PAC ID | 4082807854 |
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Medicare Enrollment ID | O20101025001146 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861705196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 053409 (Georgia) | Primary |
Provider Name | William W Tung |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1154345205 PECOS PAC ID: 4981676210 Enrollment ID: I20040809000295 |
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