Philip Wong

NPI #1457615551 in Flowery Branch, Georgia

Provider Information

NPI Number: 1457615551
Entity Type: Individual
Name: Philip Wong
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jul 3, 2012
Last Updated: Jul 3, 2012

Practice Location

Address: 4331 THURMOND TANNER PRKY
City: Flowery Branch
State: Georgia
ZIP Code: 30542-2829
Phone: (678) 513-5700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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