Teklewold Lake, PA-C

NPI 1932426210 · on the registry since 2010

Practice

Address: 2830 Clearview Pl
Suite 500
Doraville, GA 30340
Phone: (678) 638-0888
Fax: (678) 507-2360
Organisation at this address: Mike Dae Whang Md Inc
In Ae Medical Center Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-04-27

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