Kimberly Teresa Fountain MD,MS

NPI 1740419688 - Internal Medicine - 207R00000X

NPI Details
NPI 1740419688
Gender Female
Enumeration Date 07/14/2009
Last Updated 06/15/2015
Entity Type Individual
Active Over 7 years ago
Practice Location
ASMP
1120 15TH STREET
AUGUSTA GA, 30912-0001, US
Phone (706) 834-0190
Fax
Business Location
450 RAILROAD AVE
STE 1-D
NORTH AUGUSTA SC, 29841-3782, US
Phone (801) 671-0933
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Tennessee
License Number 207R0000X
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According to our database, Kimberly Teresa Fountain MD,MS NPI is 1740419688, taxonomy code is 207R00000X and license number is 207R0000X, license state is located at Tennessee. Kimberly Teresa Fountain MD,MS physically located at Asmp, Augusta GA, 30912-0001. NPI Number Kimberly Teresa Fountain MD,MS has the Individual type.

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1740419688 NPI number is provided on an as is basis without warranty of any kind. 1740419688 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Teresa Fountain MD,MS are for informational purposes only.