| Dr Peter Edward Fong, MD | |
|
106 Allen St, Cumming, GA 30040-2602 | |
| (706) 549-8114 | |
| (706) 549-0151 |
| Full Name | Dr Peter Edward Fong |
|---|---|
| Gender | Male |
| Speciality | Pain Medicine - Interventional Pain Medicine |
| Location | 106 Allen St, Cumming, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154312312 | NPI | - | NPPES |
| 644068458T | Medicaid | GA | |
| 644068458V | Medicaid | GA | |
| 644068458X | Medicaid | GA | |
| 644068458Y | Medicaid | GA | |
| 644068458W | Medicaid | GA | |
| 644068458U | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 056467 (Georgia) | Primary |
| 207LA0401X | Anesthesiology - Addiction Medicine | 56467 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Peter Edward Fong, MD Po Box 80883, Athens, GA 30608-0883 Ph: (706) 549-8114 | Dr Peter Edward Fong, MD 106 Allen St, Cumming, GA 30040-2602 Ph: (706) 549-8114 |
Dr. Nazario Villasenor Jr., MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Allen St, Cumming, GA 30040 Phone: 678-455-8693 |