Healthcare Provider Details

I. General information

NPI: 1114504222
Provider Name (Legal Business Name): DEBRA HWANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 PLEASANT HILL RD STE 470
DULUTH GA
30096-1417
US

IV. Provider business mailing address

1398 BENNETT CREEK OVERLOOK
SUWANEE GA
30024-7785
US

V. Phone/Fax

Practice location:
  • Phone: 770-513-2155
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number114218
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: