Individual
DR. BI A. TADZONG-FOMUNDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4006 POSTAL WAY UNIT A, MYRTLE BEACH, SC 29579-3527
(843) 796-1769
Mailing address
4006 POSTAL WAY UNIT A, MYRTLE BEACH, SC 29579-3527
(843) 796-1769
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD36542
SC
2083P0901X
Public Health & General Preventive Medicine Physician
MD36542
SC
Other
Enumeration date
06/23/2008
Last updated
09/19/2025
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