Individual
DR. FUN FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3949 S COBB DR SE, SMYRNA, GA 30080-6342
(770) 438-5222
(770) 434-5123
Mailing address
4180 RIDGEHURST DR SE, SMYRNA, GA 30080-3112
(770) 437-1567
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
39571
GA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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