MEDICARE: NOBUHIRO WAGO

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	171100000X	Acupuncturist	70	GA

General Provider Information

NPI Number	:	1831841618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOBUHIRO WAGO

Provider Business Mailing Address
First Line	:	2950 MOUNT WILKINSON PKWY SE APT NO902
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3637
Country	:	US
Telephone Number	:	770-333-6198
Fax Number	:

Provider Business Practice Location Address
First Line	:	1295 W SPRING ST SE STE 230
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-3676
Country	:	US
Telephone Number	:	770-436-3555
Fax Number	:

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

Provider Enumeration Date	:	01/22/2022
Last Update Date	:	02/12/2022

Similar Medicare Providers

1831659184 — DR. CLARE AMIRA OMEKAM MD
Practice Location Address:

1955 LAKE PARK DR SE STE 100
SMYRNA, GA
30080-8855

Practice Phone: 470-785-2333
Practice Fax:

1700980224 — JASON A. KING, PH.D., LLC
Practice Location Address:

2400 LAKE PARK DR SE STE 110
SMYRNA, GA
30080-8979

Practice Phone: 770-933-4130
Practice Fax: 770-933-4135

1215157169 — DR. JASON KING PH.D.
Practice Location Address:

2400 LAKE PARK DR SE STE 110
SMYRNA, GA
30080-8979

Practice Phone: 770-933-4130
Practice Fax: 770-933-4130

1205500535 — DR. SABRINA HICKLE PH.D.
Practice Location Address:

2400 LAKE PARK DR SE STE 110
SMYRNA, GA
30080-8979

Practice Phone: 770-933-4130
Practice Fax:

1174707756 — DR. CATHERINE HILARY ROGERS PH.D
Practice Location Address:

2400 LAKE PARK DR SE STE 110
SMYRNA, GA
30080-8979

Practice Phone: 770-933-4130
Practice Fax: 770-993-4135

1992634430 — JJEDU LLC
Practice Location Address:

2590 ATLANTA RD SE
SMYRNA, GA
30080-2049

Practice Phone: 770-954-5771
Practice Fax:

Directions to “ NOBUHIRO WAGO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.