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Organization

NORA TAN-NGO MD PEDIATRICS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NORA TAN-NGO MD (DOCTOR OWNER)
(706) 494-3820
Entity
Organization

Contact information

Practice address
1200 19TH ST, COLUMBUS, GA 31901-1737
(706) 494-3820
(706) 494-3930
Mailing address
1200 19TH ST, COLUMBUS, GA 31901-1737
(706) 494-3820
(706) 494-3930

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
051167
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000944666C
GA
Enumeration date
04/10/2006
Last updated
01/16/2015
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