Search › Georgia › 207N00000X
John Fountain, M.D
NPI 1629076906 · on the registry since 2005
Practice
- Address
- 1349 Milstead Rd Ne
Conyers, GA 30012 - Phone
- (770) 922-1716
- Fax
- (770) 760-9504
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Also registered as
- 207ND0101X
207NP0225X
207NS0135X
208D00000X
207ND0900X - Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-04-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia