Doctor Name: | DR. STEPHANIE GONG |
NPI Number: | 1386873701 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 2205 |
Business Practice Address: | 48 Medical Park Dr E Suite 456 Birmingham, AL - 352353400 |
Business Phone Number: | 2058386224 |
Business Fax Number: | |
Mailing Address: | 48 Medical Park Dr E, Suite 456 BIRMINGHAM |
State: | AL |
Postal Code: | 352353400 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/07/2009 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 2205 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |