| Noga Wound Care LLC | |
|
1180 Mckendree Church Rd Ste 202 Lawrenceville GA 30043-5207 | |
| (470) 633-1970 | |
| (404) 738-1614 |
| Full Name | Noga Wound Care LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1180 Mckendree Church Rd Ste 202, Lawrenceville, Georgia |
| Authorized Official Name and Position | Dong Vien Dang (OWNER) |
| Authorized Official Contact | 4706331970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Noga Wound Care LLC 2524 Ammons Way Buford GA 30519-4539 | Noga Wound Care LLC 1180 Mckendree Church Rd Ste 202 Lawrenceville GA 30043-5207 Ph: (470) 633-1970 |
| NPI Number | 1104792068 |
|---|---|
| Provider Enumeration Date | 10/16/2025 |
| Last Update Date | 04/22/2026 |
| Certification Date | 04/22/2026 |
| Medicare PECOS PAC ID | 5294201786 |
|---|---|
| Medicare Enrollment ID | O20260422000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104792068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Secondary |
| 207RS0012X | Internal Medicine - Sleep Medicine | () | Secondary |
| Provider Name | Dong Dang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275875551 PECOS PAC ID: 3375864192 Enrollment ID: I20210427001442 |
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