Alain L Domkam-Fondjo in Greenwood - Vascular Surgery
Alain L Domkam-Fondjo - NPI 1962603886
Alain L Domkam-Fondjo is a Vascular Surgery in Greenwood, Mississippi. Alain L Domkam-Fondjo practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Alain L Domkam-Fondjo is 1962603886. The last update date is 2018-12-06.
Alain L Domkam-Fondjo's current location address is 302 8th St, Greenwood, Mississippi. You can contact this provider via phone number 6624514570 and fax number 6624515140. The mailing address for Alain L Domkam-Fondjo is 302 8th St, Greenwood, Mississippi. To know further, please read the information below!
Provider Profile Detail
Provider Name | Alain L Domkam-Fondjo |
---|---|
Address | 302 8th St, Greenwood, Mississippi |
Phone Number | 6624514570 |
Fax Number | 6624515140 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962603886 |
---|---|
Provider Enumeration Date | 2007-05-29 |
Last Updated Date | 2018-12-06 |
Provider Mailing Address Detail
Address | 302 8th St |
---|---|
City | Greenwood |
State | Mississippi (MS) |
Post Code | 389304014 |
Phone Number | 6624514570 |
Fax Number | 6624515140 |
Provider's Primary Taxonomy Detail
Speciality | Vascular Surgery |
---|---|
Taxonomy | 2086S0129X |
Licence No | 19760 |
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
Post Comment/ Review Below
What is the unique identification code assigned to Alain L Domkam-Fondjo by the Centers for Medicare & Medicaid Services?
The Alain L Domkam-Fondjo has been issued the NPI (National Provider Identifier) 1962603886. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Alain L Domkam-Fondjo's facilities are geographically located?
The facilities of Alain L Domkam-Fondjo are physically situated at the following location: 302 8Th St, Greenwood, MS, 389304014.
What is Alain L Domkam-Fondjo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Alain L Domkam-Fondjo's specialized field of practice is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0129X.
On what date did the Alain L Domkam-Fondjo receive the assignment of its 1962603886 from the Centers for Medicare & Medicaid Services?
The Alain L Domkam-Fondjo was issued its 1962603886 by the Centers for Medicare & Medicaid Services on 2007-05-29.
When was the information pertaining to Alain L Domkam-Fondjo most recently updated or revised?
The details related to Alain L Domkam-Fondjo, including its address, specialty, and other relevant information, were last updated or revised on 2018-12-06.