DR. BI TADZONG-FOMUNDAM, M.D.

Dermatology

Active Individual
NPI: 1710148648

Practice Address

4006 POSTAL WAY UNIT A
Myrtle Beach, SC 29579

Phone: (843) 796-1769

Specialties

Specialty Code Primary License
Dermatology 207N00000X Yes MD36542 (SC)
Preventive Medicine - Public Health & General Preventive Medicine 2083P0901X No MD36542 (SC)

Frequently Asked Questions

NPI 1710148648 is the National Provider Identifier for DR. BI TADZONG-FOMUNDAM, M.D., a Dermatology provider located in Myrtle Beach, SC. This NPI was enumerated on June 23, 2008.
DR. BI TADZONG-FOMUNDAM, M.D. practices at 4006 POSTAL WAY UNIT A, Myrtle Beach, SC 29579.

Quick Facts

NPI
1710148648
Type
Individual
Enumerated
Jun 23, 2008
Last Updated
Sep 19, 2025

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