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Contact Information

EUGENE G FONG, MD
5301 VIRGINIA WAY
SUITE 300
BRENTWOOD, TN37027-7541
 Phone: 615-695-4977
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for EUGENE G FONG · (Male)

NPI Number 1083680706
Status Active
Credentials MD
Entity Individual
Enumeration date 02/23/2006
Last updated 07/28/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 19129
  • GA Medicaid 000390629A
  • TN Medicaid 3046736
  • TN Medicaid 3046737
  • TN Other 220014955 RR MCARE-TN
Hospital affiliation(s)
  • FANNIN REGIONAL HOSPITAL - (Acute Care)
    2855 OLD HIGHWAY 5 NORTH
    BLUE RIDGE, GA 30513
  • PARKRIDGE MEDICAL CENTER - (Acute Care)
    2333 MCCALLIE AVE
    CHATTANOOGA, TN 37404
  • RHEA MEDICAL CENTER - (Critical Access)
    9400 RHEA COUNTY HIGHWAY
    DAYTON, TN 37321
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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