Allen Fong
Internist General Practice Physician
6600 Van Aalst Blvd
Fort Benning
, Georgia 31905-2102
Allen Fong
Internist General Practice Physician
6600 Van Aalst Blvd
Fort Benning
, Georgia 31905-2102
(762) 408-3343
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About
Features
Specialties
- Internist
- General Practice Physician
Languages spoken
- English
Location
First Address
- Allen Fong
- 6600 Van Aalst Blvd Martin Army Community Hospital, Internal Medicine
- Ft Benning, GA
- Zip : 31905
- Phone : (762) 408-3343
Second Address
- Allen Fong
- 6600 Van Aalst Blvd
- Fort Benning, GA
- Zip : 31905-2102
- Phone : (762) 408-2273
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 30561 | NE |
| Y | 111NI0900X | Internist | 30561 | NE |
| N | 208D00000X | General Practice Physician | 30561 | NE |
National Provider Identifier
| NPI | 1023471497 |
|---|---|
| Provider Name | Allen Fong |
| First Address | Ft Benning, GA 31905 |
| Second Address | Fort Benning, GA 31905-2102 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/04/2016 |
| Last Update Date | 30/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.