Provider Demographics
NPI:1679581961
Name:YANG, WILLIAM NORMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:NORMAN
Last Name:YANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:734 WILDWOOD RD NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-4910
Mailing Address - Country:US
Mailing Address - Phone:404-888-9696
Mailing Address - Fax:
Practice Address - Street 1:1 COCA COLA PLZ NW
Practice Address - Street 2:CCP234C
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30313-2420
Practice Address - Country:US
Practice Address - Phone:404-515-5596
Practice Address - Fax:404-515-4023
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0405942083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG13529Medicare UPIN