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Individual

KATHRYN FONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 330, COLUMBIA, SC 29203-6862
(803) 434-7100
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7329
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
83019
SC

Other

Enumeration date
05/10/2012
Last updated
11/20/2019
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