Abel Aung
Individual provider Active NPI Community Health Worker · Clarkston, GA
NPI 1467147348 · NPPES record last updated Apr 6, 2023
Key facts
- NPI
- 1467147348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- License
- 3341791 (GA)
- Practice address
- 1329 Brockett Rd Ste E
Clarkston, GA 30021-1516 - Phone
- (770) 559-4978
- NPI assigned
- Apr 6, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3341791 | GA | MD | Community Health Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 3341791 | GA | Yes |
Addresses
Primary practice location
1329 Brockett Rd Ste E
Clarkston, GA 30021-1516
Mailing address
1329 Brockett Rd Ste E
Clarkston, GA 30021-1516
Phone (770) 559-4978
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All providers in Clarkston, GA · Community Health Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.