BI A. TADZONG-FOMUNDAM

MYRTLE BEACH, SC
NPI1710148648
Former NameBI A. TADZONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: SC  MD36542)
Additional Taxonomies2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: SC  MD36542)
Enumeration Date2008-06-23
Last Update Date2024-04-30
Business Address
Dr. BI A. TADZONG-FOMUNDAM M.D.
8170 ROURK ST STE 100
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-0453
Mailing Address
Dr. BI A. TADZONG-FOMUNDAM M.D.
3185 BRAMBLE GLEN DR
MYRTLE BEACH, SC 29579-4328
Phone number: 843-455-3585