Provider Demographics
NPI:1376002642
Name:WANG, DAVID SHOUZHEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:SHOUZHEN
Last Name:WANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 BUFORD DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-5107
Mailing Address - Country:US
Mailing Address - Phone:678-344-3744
Mailing Address - Fax:678-344-3757
Practice Address - Street 1:2800 BUFORD DR STE 200
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-5107
Practice Address - Country:US
Practice Address - Phone:678-344-3744
Practice Address - Fax:678-344-3757
Is Sole Proprietor?:No
Enumeration Date:2019-03-17
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA98081207RR0500X, 207RR0500X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program