Individual
YONGKUMA C YONGKUMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1212 E THREE NOTCH ST, ANDALUSIA, AL 36420-3402
(334) 222-6041
(334) 222-1595
Mailing address
1212 E THREE NOTCH ST, ANDALUSIA, AL 36420-3402
(334) 222-6041
(334) 222-1595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29462
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000109308
—
AL
Enumeration date
08/07/2007
Last updated
05/29/2015
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