Azingala Ajua Fondong, MD
Emergency Medicine in Greenville, TX. Individual provider (NPI-1).
NPI number1154882702
StatusActive
Last updated in NPPESSep 24, 2025
Details
- NPI
- 1154882702
- Entity type
- Individual (NPI-1)
- Name
- Azingala Ajua Fondong
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2019
- Certification date
- Sep 24, 2025
- Last updated
- Sep 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | U2199 | TX | Yes |
| 207P00000X | Emergency Medicine | 30382 | MS | |
| 207Q00000X | Family Medicine | 30382 | MS | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207Q00000X | Family Medicine | U2199 | TX |
Practice location
4215 Joe Ramsey Blvd EGreenville, TX 75401-7852
Phone 903-408-5000
Mailing address
501 Air Park AveGreenville, TX 75402-3000
Phone 903-408-5834 · Fax 903-408-5693
Other practice locations
1005 Dr D B Todd Jr. Blvd
Nashville, TN 37208
Nashville, TN 37208
Phone 443-821-9650
830 S Gloster St
Tupelo, MS 38801-4934
Tupelo, MS 38801-4934
Phone 601-260-6486
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