Drmichaelwangpt, Llc

LBN: Drmichaelwangpt, Llc
Drmichaelwangpt, Llc is an health care organization with primary practice located at 4870 Peachtree Industrial Blvd Ste 600 , Berkeley Lake GA 30071-5734. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Drmichaelwangpt, Llc can be contacted via phone (678) 388-9504, or through Wang, Michael via phone (678) 388-9504.

Contact Information

Primary practice address
4870 Peachtree Industrial Blvd Ste 600 Berkeley Lake GA 30071-5734
Phone: (678) 388-9504
Fax: (404) 777-3474
Website:
Map and Directions
Authorized official contact:
Name: Wang, Michael PT, DPT
Phone: (678) 388-9504

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X

Profile Details

NPI number 1922680354
LBN Legal business name Drmichaelwangpt, Llc
DBA Doing business as
Authorized official Wang, Michael PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2021
Last updated Apr 26th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922680354 NPPES
Georgia MEDICAID 003190230B

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