Provider Demographics
NPI:1518077015
Name:TONG, ELIZABETH JANE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JANE
Last Name:TONG
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE STE A1400
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-4004
Mailing Address - Country:US
Mailing Address - Phone:404-778-0480
Mailing Address - Fax:404-778-2890
Practice Address - Street 1:1365 CLIFTON RD NE STE A1400
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-4004
Practice Address - Country:US
Practice Address - Phone:404-778-0480
Practice Address - Fax:404-778-2890
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0526502083P0901X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine