Individual
DR. TATAH SAMMY FONGEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DR SW, ATLANTA, GA 30310-1458
(404) 752-1857
(404) 752-1088
Mailing address
2954 SECRETARIAT CT, DECATUR, GA 30034-3452
(404) 428-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68773
GA
Other
Enumeration date
06/23/2009
Last updated
03/05/2013
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