Kong, Stephanie H
Kong, Stephanie H is an individual health care provider with primary practice located at 210 Hannahs Mill Rd , Thomaston GA 30286-2801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Kong, Stephanie H can be contacted via phone (706) 938-0990.Contact Information
Primary practice address
210 Hannahs Mill Rd
Thomaston GA 30286-2801
Phone: (706) 938-0990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 039388 | Georgia |
Profile Details
| NPI number | 1508851908 |
|---|---|
| LBN Legal business name | Kong, Stephanie H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Feb 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508851908 | NPPES |
| Georgia | MEDICAID | 956718471F | |
| Georgia | MEDICAID | 956718471B |
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