Chun Chung Fong, IDMT

NPI #1881905073 in Moody Afb, Georgia

Provider Information

NPI Number
1881905073
Entity Type
Individual
Name
Chun Chung Fong, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 23, 2010
Last Updated
Nov 21, 2014

Practice Location

Address
3278 MITCHELL BLVD BLDG 900
State
Georgia
ZIP Code
31699-1500
Phone
(813) 503-0354

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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