Provider Demographics
NPI:1497905913
Name:WANG, DONG (MD)
Entity Type:Individual
Prefix:DR
First Name:DONG
Middle Name:
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:3790 PLEASANT HILL RD STE 250
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5150
Mailing Address - Country:US
Mailing Address - Phone:678-878-2989
Mailing Address - Fax:678-878-2990
Practice Address - Street 1:3790 PLEASANT HILL RD STE 250
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5150
Practice Address - Country:US
Practice Address - Phone:678-878-2989
Practice Address - Fax:678-878-2990
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA686322084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology