Individual
PHYLLIS SHOU-WEN TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 EXECUTIVE PARK S STE 390, ATLANTA, GA 30329-2255
(404) 997-6790
Mailing address
57 EXECUTIVE PARK S STE 390, ATLANTA, GA 30329-2255
(404) 997-6790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041692
GA
Other
Enumeration date
08/29/2006
Last updated
06/03/2013
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