Joel Robert Fountain JR. M.D.

NPI 1619136959 - Family Medicine - 207Q00000X

NPI Details
NPI 1619136959
Gender Male
Enumeration Date 06/02/2008
Last Updated 06/02/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
411 TAYLOR DR
FORSYTH GA, 31029-8505, US
Phone (478) 954-2188
Fax
Business Location
411 TAYLOR DR
FORSYTH GA, 31029-8505, US
Phone (478) 954-2188
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 020703
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According to our database, Dr. Joel Robert Fountain JR. M.D. NPI is 1619136959, taxonomy code is 207Q00000X and license number is 020703, license state is located at Georgia. Joel Robert Fountain JR. M.D. physically located at 411 Taylor Dr, Forsyth GA, 31029-8505. NPI Number Joel Robert Fountain JR. M.D. has the Individual type.

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1619136959 NPI number is provided on an as is basis without warranty of any kind. 1619136959 is maintained by the National Plan & Provider Enumeration System. The contents of Joel Robert Fountain JR. M.D. are for informational purposes only.