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NPI Code Detail

MEDICARE: HAE MI HOPE WANG NP

MEDICARE:   HAE MI HOPE WANG  NP
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
1363LF0000XFamily Nurse PractitionerRN286827GA

General Provider Information

NPI Number : 1356122048
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAE MI HOPE WANG NP
Provider Business Mailing Address
First Line : 1694 MORNINGDALE CIR
Second Line :
City : DULUTH
State : GA
Zip : 30097-5261
Country : US
Telephone Number : 678-662-2934
Fax Number :
Provider Business Practice Location Address
First Line : 2725 MALL OF GEORGIA BLVD FL 2
Second Line :
City : BUFORD
State : GA
Zip : 30519-8791
Country : US
Telephone Number : 470-589-1237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2023
Last Update Date : 12/23/2025

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