Provider Demographics
NPI:1861703654
Name:NGWANG, MARGA B (MD)
Entity type:Individual
Prefix:DR
First Name:MARGA
Middle Name:B
Last Name:NGWANG
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1810 MULKEY RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:AUSTELL
Mailing Address - State:GA
Mailing Address - Zip Code:30106-1151
Mailing Address - Country:US
Mailing Address - Phone:678-540-7597
Mailing Address - Fax:770-465-9802
Practice Address - Street 1:1810 MULKEY RD
Practice Address - Street 2:SUITE 105
Practice Address - City:AUSTELL
Practice Address - State:GA
Practice Address - Zip Code:30106-1151
Practice Address - Country:US
Practice Address - Phone:678-540-7597
Practice Address - Fax:770-465-9802
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-25
Last Update Date:2016-08-02
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Provider Licenses
StateLicense IDTaxonomies
PAMT198297207Q00000X
GA070328207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine