Individual
DOUNGPHON VONGSAONA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5401 ABERCORN ST, SAVANNAH, GA 31405-6901
(912) 354-7676
(912) 356-3170
Mailing address
5401 ABERCORN ST, SAVANNAH, GA 31405-6901
(912) 356-3170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215598
GA
Other
Enumeration date
11/13/2015
Last updated
07/12/2021
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