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Individual
DR. BRETT P FOUNTAIN
Active
Individual
DR. BRETT P FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT013785
GA
Other
Enumeration date
03/23/2020
Last updated
03/23/2020
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