Healthcare Provider Details

I. General information

NPI: 1407534936
Provider Name (Legal Business Name): MORROW FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 07/07/2023
Certification Date: 07/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5299 JONESBORO RD STE 201
MORROW GA
30260-3470
US

IV. Provider business mailing address

762 WATERCOURSE WAY
LAWRENCEVILLE GA
30046-8470
US

V. Phone/Fax

Practice location:
  • Phone: 404-907-9944
  • Fax: 678-302-7441
Mailing address:
  • Phone: 404-907-9944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. DONG DANG
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 336-420-3794