Wang, Regina
Wang, Regina is an individual health care provider with primary practice located at 2545 Lawrenceville Hwy Suite 200, Decatur GA 30033-3206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Wang, Regina can be contacted via phone (770) 934-7876.Contact Information
Primary practice address
2545 Lawrenceville Hwy Suite 200
Decatur GA 30033-3206
Phone: (770) 934-7876
Fax: (678) 990-7236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 050568 | Georgia |
Profile Details
| NPI number | 1073504643 |
|---|---|
| LBN Legal business name | Wang, Regina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Nov 22nd, 2019 - about 7 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 | 1073504643 | NPPES |
| Georgia | MEDICAID | 00951475B | |
| Georgia | MEDICAID | 00951475A |
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