Individual
JONATHAN CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 COIT RD STE 301, PLANO, TX 75075-6172
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 12187, AUGUSTA, GA 30914-2187
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
37485
OK
208600000X
Surgery Physician
Primary
Q1116
TX
2086S0102X
Surgical Critical Care Physician
37485
OK
2086S0102X
Surgical Critical Care Physician
Q1116
TX
Other
Enumeration date
06/11/2009
Last updated
07/09/2025
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