Fong, Eugene G

Fong, Eugene G is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Fong, Eugene G can be contacted via phone (615) 695-4977.

Contact Information

Primary practice address
5301 Virginia Way Suite 300 Brentwood TN 37027-7541
Phone: (615) 695-4977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 19129 Tennessee

Profile Details

NPI number 1083680706
LBN Legal business name Fong, Eugene G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 28th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083680706 NPPES
Tennessee Other 220014955 RR MCARE-TN
Tennessee MEDICAID 3046737 RR MCARE-TN
Tennessee MEDICAID 000390629A RR MCARE-TN
Tennessee MEDICAID 3046736 RR MCARE-TN

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