Oh, Sang Wan
Oh, Sang Wan is an individual health care provider with primary practice located at 257 South Main Street , Reidsville GA 30427. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Oh, Sang Wan can be contacted via phone (912) 557-4315.Contact Information
Primary practice address
257 South Main Street
Reidsville GA 30427
Phone: (912) 557-4315
Fax: (912) 557-3338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 16117 | Georgia |
Profile Details
| NPI number | 1265545115 |
|---|---|
| LBN Legal business name | Oh, Sang Wan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Aug 8th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265545115 | NPPES |
| Georgia | MEDICAID | 00012317A |
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