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Individual
MR. N. ROEL FUNG-A-WING
Active
Individual
MR. N. ROEL FUNG-A-WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4034861
BCBS
GA
Enumeration date
11/16/2006
Last updated
08/03/2015
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