# CHAI CHAMNONG DO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Chamnong Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467756296
- **Authorized official:** DR. CHAI CHAMNONG D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (334) 462-1781

## Contact information

- **Practice address:** 8300 CROSSLAND LOOP, MONTGOMERY, AL 36117-8482
- **Practice address phone:** (334) 462-1781
- **Mailing address:** 2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL 36117-7790
- **Mailing address phone:** (334) 270-9914
- **Mailing address fax:** (334) 270-3195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/09/2011
- **Last updated:** 01/09/2011