Individual
JOSEPH NDANGOH FONGOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1289 HEARTWOOD AVE, MCDONOUGH, GA 30253-3070
(404) 432-9400
Mailing address
1289 HEARTWOOD AVE, MCDONOUGH, GA 30253-3070
(404) 432-9400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN199160
GA
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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