Individual provider · Type 1 NPI

Samuel Florian Fongue Fongue, MD

Student in an Organized Health Care Education/Training Program · Lumberton, NC

NPI number 1942553698 Active

Practice location

300 W 27th St
Lumberton, NC 28358-3075

Call (910) 735-8784 Map

Fax (910) 671-5392

Mailing address

669 Cupota Dr
Clayton, NC 27520-6250

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1942553698

Samuel Florian Fongue Fongue, MD's National Provider Identifier is 1942553698, issued on Oct 18, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lumberton, NC. The record was last updated on Apr 22, 2026.