Fong, Peter Edward

Fong, Peter Edward is an individual health care provider with primary practice located at 106 Allen St , Cumming GA 30040-2602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Fong, Peter Edward can be contacted via phone (706) 549-8114.

Contact Information

Primary practice address
106 Allen St Cumming GA 30040-2602
Phone: (706) 549-8114
Fax: (706) 549-0151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 056467 Georgia
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X 56467 Georgia

Profile Details

NPI number 1154312312
LBN Legal business name Fong, Peter Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Apr 8th, 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 1154312312 NPPES
Georgia MEDICAID 644068458T
Georgia MEDICAID 644068458V
Georgia MEDICAID 644068458X
Georgia MEDICAID 644068458Y
Georgia MEDICAID 644068458W
Georgia MEDICAID 644068458U

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