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Individual

MR. CHINH C NONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3700 WILLIAMS DRIVE, MARIANNA, FL 32446
(850) 482-9222
(850) 718-0434
Mailing address
3700 WILLIAMS DRIVE, MARIANNA, FL 32446
(850) 482-9222
(850) 718-0434

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
FLME0045126
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0699888 00
FL
Enumeration date
12/11/2006
Last updated
06/23/2008
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