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Contact Information

REGINA J WANG, M.D.
4720 PEACHTREE INDUSTRIAL BLVD
STE 202
BERKELEY LAKE, GA30071
 Phone: 770-514-8880
 Fax: 770-457-6311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for REGINA J WANG · (Female)

NPI Number 1073504643
Status Active
Credentials M.D.
Entity Individual
Enumeration date 11/02/2005
Last updated 04/28/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • GA License # 050568
  • GA Medicaid 00951475A
  • GA Medicaid 00951475B
Hospital affiliation(s)
  • DEKALB MEDICAL CENTER - (Acute Care)
    2701 N DECATUR ROAD
    DECATUR, GA 30033
  • EMORY JOHNS CREEK HOSPITAL - (Acute Care)
    6325 HOSPITAL PARKWAY
    JOHNS CREEK, GA 30097
  • GWINNETT MEDICAL CENTER - (Acute Care)
    1000 MEDICAL CENTER BOULEVARD
    LAWRENCEVILLE, GA 30045
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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