Search › Georgia › 171100000X
Nobuhiro Wago
NPI 1831841618 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1295 W Spring St Se Ste 230
Smyrna, GA 30080 - Phone
- (770) 436-3555
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia