Individual
DARRYL FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4105 FORT HENRY DRIVE, SUITE 207, KINGSPORT, TN 37663
(423) 239-5833
(423) 239-9789
Mailing address
1 FONTAINE CT, KINGSPORT, TN 37660
(423) 392-4981
(423) 245-5032
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20124
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
05
—
0221312000
—
WV
01
—
063263
ANTHEM BCBS
—
01
—
100011235
PHP TENNCARE
—
01
—
3046989
BLUE SHIELD OF TN
—
05
—
3051034
—
TN
05
—
5747040
—
VA
05
—
64911142
—
KY
05
—
890576L
—
NC
01
—
TN0100
JOHN DEERE
—
Enumeration date
08/22/2005
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us