Individual
DR. TIMOTHY P FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
719 GREEN VALLEY ROAD, SUITE 305, GREENSBORO, NC 27408
(336) 275-5391
(336) 275-4702
Mailing address
719 GREEN VALLEY ROAD, SUITE 305, GREENSBORO, NC 27408
(336) 275-5391
(336) 275-4702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38336
NC
Other
Enumeration date
08/17/2006
Last updated
11/29/2012
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