Provider Demographics
NPI:1629236344
Name:HWANG, DANIEL WOO (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:WOO
Last Name:HWANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3225 CUMBERLAND BLVD SE
Mailing Address - Street 2:STE 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-6407
Mailing Address - Country:US
Mailing Address - Phone:404-351-2220
Mailing Address - Fax:404-352-5392
Practice Address - Street 1:3225 CUMBERLAND BLVD SE STE 900
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5971
Practice Address - Country:US
Practice Address - Phone:404-351-2220
Practice Address - Fax:404-352-5392
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2019-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA077025207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003184523BMedicaid
GA202I189305OtherMEDICARE PTAN
VA010125239OtherMEDICAL LICENSE