Individual
DR. ALAIN LESAGE FONDJO DOMKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 8TH ST, GREENWOOD, MS 38930-4014
(662) 451-4570
(662) 451-5140
Mailing address
302 8TH ST, GREENWOOD, MS 38930-4014
(662) 451-4570
(662) 451-5140
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
19760
MS
Other
Enumeration date
05/29/2007
Last updated
10/25/2024
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