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Individual

LINDA M FOUNTAIN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
550 PEACHTREE ST NE, 3RD FL, ATLANTA, GA 30308
(404) 686-3857
(404) 686-4631
Mailing address
1743 WILSONS CROSSING DR, DECATUR, GA 30033-1103
(404) 248-9786

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
023955
GA

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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