Individual
MANUEL R TAMONDONG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
105 WALNUT ST, MONTEZUMA, GA 31063-1902
(478) 472-4633
Mailing address
103 GA HIGHWAY 27 E, AMERICUS, GA 31709-3800
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
057502
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
848572689A
—
GA
Enumeration date
12/22/2006
Last updated
07/08/2007
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