Patrick Fonge
Patrick Fonge is a Contractor in Bowie, Maryland. Licensed in District of Columbia and Georgia. Registered with an NPI since 2014.
- Licensed in
- DC, GA
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
4203 Windflower WayBowie, MD 20720
Phone: (404) 509-1243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence RPH033470. (GA) |
|---|---|
| Contractor | Taxonomy 171W00000X · Licence HHA10649 (DC) |
| Home Health Aide | Taxonomy 374U00000X · Licence HHA10649 (DC) |
Record details
| NPI number | 1780081372 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 25, 2014 |
| Last updated in NPPES | December 14, 2021 |
| Certification date | December 14, 2021 |
| Mailing address | 7893 Sunvalley Ln, Lithia Springs, GA 30122-7816 |
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Pharmacy & Pharmaceutical Services Provider
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