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General NPI Number Information
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NPI Number | 1750197844
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Entity Type | Organization
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Legal Business Name | WILLIAM W. TUNG MD P.C.
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 4904 TIMBER RIDGE DR STE 305
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City | DOUGLASVILLE
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State | GA
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Zip | 30135-2888
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Country | US
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Telephone | 678-501-5420
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Fax | 678-501-5427
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Provider Business Mailing Address
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Address Line | 1770 HIGH TRL
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City | ATLANTA
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State | GA
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Zip | 30339-5617
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Country | US
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Telephone | 678-678-1883
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Fax | 470-787-2178
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Authorized Official
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Title or Position | PRESIDENT / PHYSICIAN
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Name | WILLIAM W TUNG
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Credential | MD
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Telephone | 678-678-1883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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