Individual
MR. RONG BAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 283-3030
Mailing address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
90090
GA
Other
Enumeration date
04/19/2019
Last updated
11/07/2022
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