Individual
MR. FONCO HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2579 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-3515
(770) 452-9600
(770) 452-8303
Mailing address
12476 HOPEWELL RD, ALPHARETTA, GA 30004-1347
(770) 452-9600
(770) 452-8303
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
POD000769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000691347C
—
GA
Enumeration date
07/09/2006
Last updated
07/09/2007
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