Provider Demographics
NPI:1326415563
Name:LOONG, WILLIAM WAI-YNN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:WAI-YNN
Last Name:LOONG
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:221 TECHNOLOGY PKWY NW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-1369
Mailing Address - Country:US
Mailing Address - Phone:706-295-5331
Mailing Address - Fax:
Practice Address - Street 1:150 GENTILLY BLVD
Practice Address - Street 2:
Practice Address - City:CARTERSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30120-8522
Practice Address - Country:US
Practice Address - Phone:770-606-8359
Practice Address - Fax:770-382-5762
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2020-04-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA008082363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant