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MANUEL R TAMONDONG M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1588729388

Individual Registrant:
 MANUEL R TAMONDONG M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
105 WALNUT ST  MONTEZUMA, GA 31063-1902 US
Tel: 478-472-4633  Fax: --

Contact information for business:
103 GA HIGHWAY 27 E  AMERICUS, GA 31709-3800 US
Tel: --  Fax: --

Registration Information:
NPI: 1588729388
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA057502

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
848572689AGA05




HEALTH CARE JOBS GA - Page 1



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