Individual
DR. FANG FENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
050798
GA
2084N0400X
Neurology Physician
Primary
050798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942972A
—
GA
Enumeration date
10/28/2005
Last updated
09/11/2012
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