NORTHEAST FAMILY PRACTICE P.C
Ambulatory Health at Peachtree Industrial Blvd, Norcross, GA

License number
Georgia 050568
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. REGINA JIANHUA WANG M.D.
Title: PRESIDENT
Phone: (404) 819-7261
Address
Address
4720 Peachtree Industrial Blvd STE 202, Norcross, GA 30071
National Provider ID: 1396099578
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHEAST FAMILY PRACTICE PC

4720 Peachtree Industrial Blvd, Norcross, GA 30071

Industry:
Medical Doctor's Office
Registration:
Oct 22, 2012
State ID:
12083847
Business type:
Domestic Professional Corporation
Secretary:
Regina Wang (Secretary), 4720 Peachtree Industrial Blvd SUITE 202, Norcross, GA 30071 (Physical)

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