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Dr. Peter Edward Fong, MD
Addiction Medicine (Anesthesiology) Physician in Cumming, Georgia
NPI 1154312312

Peter Edward Fong is an Addiction Medicine (Anesthesiology) Physician based in Athens, GA and is specialized in Addiction Medicine. Peter Edward Fong practices in Cumming, GA and has the professional credentials of MD. The NPI Number for Peter Edward Fong is 1154312312 and holds a License No. 056467 (Georgia).

The current practice location address for Peter Edward Fong is 106 Allen St, Cumming, GA and can be reached out via phone at 706-549-8114 and via fax at 706-549-0151. You can also correspond with Peter Edward Fong through the mailing address at PO BOX 80883, ATHENS, GA - 30608-0883 (mailing address contact number: 706-549-8114).

Location: 106 Allen St, Cumming, GA, 30608-0883
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154312312
Provider Name
Peter Edward Fong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
106 Allen St, Cumming, GA, 30608-0883
Phone Number
706-549-8114
Fax Number
706-549-0151
Provider Enumeration Date
11/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
644068458T 05 GA
644068458V 05 GA
644068458X 05 GA
644068458Y 05 GA
644068458W 05 GA
644068458U 05 GA
institution
Provider Business Practice Location Address Details
Address
106 Allen St
City
Cumming
State
Georgia
Zip
30040-2602
Phone Number
706-549-8114
Fax Number
706-549-0151
person
Provider Business Mailing Address Details
Address
106 Allen St
City
Cumming
State
Georgia
Zip
30040-2602
Phone Number
706-549-8114
Fax Number
706-549-0151
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Addiction Medicine
Taxonomy
207LA0401X
License No.
56467 (Georgia)
Definition
An anesthesiologist who specializes in the diagnosis and treatment of addictions.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
056467 (Georgia)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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