Individual
CECILIA B ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
213 NORTH MCDONALD STREET, SUITE A & B, LUDOWICI, GA 31316
(912) 545-9398
(912) 545-0079
Mailing address
PO BOX 554, LUDOWICI, GA 31316-0554
(912) 545-9398
(912) 545-0079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
017713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000083234F
—
GA
05
—
000083234G
—
GA
Enumeration date
04/12/2010
Last updated
08/11/2010
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