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-- FENG-MING PHOENIX KONG -- MD

Individual Provider (NPI-1) Active

Provider Information

NPI Number
1699867093
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
1120 15TH ST, AUGUSTA, GA, 309120004
Phone
(706) 724-6100
Fax
(706) 724-1600

Specialties & Taxonomies

Unknown License: MI #4301082609
Unknown Primary License: GA #070150

All Addresses

MAILING

1499 WALTON WAY SUITE 1400

AUGUSTA, GA, 309012603

(706) 724-6100

LOCATION

1120 15TH ST

AUGUSTA, GA, 309120004

(706) 724-6100