Tung, William
Tung, William is an individual health care provider with primary practice located at 4904 Timber Ridge Drive Suite 305, Douglasville GA 30135. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Tung, William can be contacted via phone (678) 501-5420.Contact Information
Primary practice address
4904 Timber Ridge Drive Suite 305
Douglasville GA 30135
Phone: (678) 501-5420
Fax: (678) 501-5427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 053409 | Georgia |
Profile Details
| NPI number | 1154345205 |
|---|---|
| LBN Legal business name | Tung, William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Aug 14th, 2013 - about 12 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 | 1154345205 | NPPES |
| Georgia | Other | 202I35563 | MEDICARE ID-TYPE UNSPECIFIED |
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