Individual
JOSE M TONGOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
427 W 3RD AVE, ALBANY, GA 31701-1975
(229) 312-0344
Mailing address
427 W 3RD AVE, ALBANY, GA 31701-1975
(229) 312-0344
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
038386
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619968A
—
GA
Enumeration date
06/21/2006
Last updated
03/09/2012
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