Individual
ALFONSO T DAMPOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2131 FOUNTAIN DR, SNELLVILLE, GA 30078-7024
(770) 979-8200
Mailing address
PO BOX 116276, ATLANTA, GA 30368-6276
(770) 232-8611
(770) 232-8618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
018008
GA
Other
Enumeration date
11/10/2005
Last updated
10/12/2007
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