Tadzong-Fomundam, Bi A.

Tadzong-Fomundam, Bi A. is an individual health care provider with primary practice located at 8170 Rourk St Ste 100 , Myrtle Beach SC 29572-4127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Tadzong-Fomundam, Bi A. can be contacted via phone (843) 449-0453.

Contact Information

Primary practice address
8170 Rourk St Ste 100 Myrtle Beach SC 29572-4127
Phone: (843) 449-0453
Fax: (843) 449-9531
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X MD36542 South Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD36542 South Carolina

Profile Details

NPI number 1710148648
LBN Legal business name Tadzong-Fomundam, Bi A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Apr 30th, 2024 - about 7 months 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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