Provider Demographics
NPI:1053329656
Name:TRANG, DONG T (DO)
Entity Type:Individual
Prefix:DR
First Name:DONG
Middle Name:T
Last Name:TRANG
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1000 PARK FORTY PLZ
Mailing Address - Street 2:SUITE 550
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5249
Mailing Address - Country:US
Mailing Address - Phone:919-403-2028
Mailing Address - Fax:919-806-0044
Practice Address - Street 1:801 W GORDON ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3426
Practice Address - Country:US
Practice Address - Phone:706-647-8111
Practice Address - Fax:706-647-5841
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA057691207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA173391718AMedicaid
GAPENDINGMedicare UPIN
I58836Medicare UPIN
GAI58836Medicare UPIN
GAPENDINGMedicare ID - Type Unspecified