| William W. Tung Md P.c. | |
|
1770 High Trl Atlanta GA 30339-5617 | |
| (770) 953-3603 | |
| (770) 587-5485 |
| Full Name | William W. Tung Md P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1770 High Trl, Atlanta, 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. 1770 High Trl Atlanta GA 30339-5617 Ph: (770) 953-3603 |
| NPI Number | 1861705196 |
|---|---|
| Provider Enumeration Date | 07/15/2010 |
| Last Update Date | 09/25/2023 |
| Certification Date | 09/25/2023 |
| Medicare PECOS PAC ID | 4082807854 |
|---|---|
| Medicare Enrollment ID | O20101025001146 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861705196 | NPI | - | NPPES |
| 6883999343A | Medicaid | GA |
| 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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