Theresa Marie Wong, MD
Obstetrics & Gynecology in Dalton, GA. Individual provider (NPI-1).
NPI number1073019014
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1073019014
- Entity type
- Individual (NPI-1)
- Name
- Theresa Marie Wong
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2018
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 92790 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1105 Burleyson RdDalton, GA 30720-3181
Phone 706-278-4640 · Fax 706-275-6599
Mailing address
1105 Burleyson RdDalton, GA 30720-3181
Phone 706-278-4640 · Fax 706-275-6599
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All 20 Obstetrics & Gynecology Physician providers in Dalton · All 1,650 providers in Dalton
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