Individual
JIAN HUAI FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
PO BOX 55309, BIRMINGHAM, AL 35255-5309
(205) 731-9050
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27530
AL
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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