Erin Fontaine OD

NPI 1245528520 - Optometrist - 152W00000X

NPI Details
NPI 1245528520
Gender Female
Enumeration Date 07/20/2011
Last Updated 08/16/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
1364 WESTGATE CENTER DR
WINSTON SALEM NC, 27103-2932, US
Phone (336) 768-4140
Fax (336) 768-4487
Business Location
1364 WESTGATE CENTER DR
WINSTON SALEM NC, 27103-2932, US
Phone (336) 768-4140
Fax (336) 768-4487
Toxanomy
Taxonomy Code 152W00000X
License State South Carolina
License Number 1653
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According to our database, Erin Fontaine OD NPI is 1245528520, taxonomy code is 152W00000X and license number is 1653, license state is located at South Carolina. Erin Fontaine OD physically located at 1364 Westgate Center Dr, Winston Salem NC, 27103-2932. NPI Number Erin Fontaine OD has the Individual type.

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1245528520 NPI number is provided on an as is basis without warranty of any kind. 1245528520 is maintained by the National Plan & Provider Enumeration System. The contents of Erin Fontaine OD are for informational purposes only.