MEDICARE: WINNIE-WING TSANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	RPH023308	GA

General Provider Information

NPI Number	:	1215195417
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WINNIE-WING TSANG

Provider Business Mailing Address
First Line	:	711 COSMOPOLITAN DR NE
Second Line	:	UNIT 415
City	:	ATLANTA
State	:	GA
Zip	:	30324-3600
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 HOWELL MILL RD NW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-1732
Country	:	US
Telephone Number	:	404-351-4448
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2008
Last Update Date	:	03/16/2011

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