Individual
ERIN FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1364 WESTGATE CENTER DR, WINSTON SALEM, NC 27103-2932
(336) 768-4140
(336) 768-4487
Mailing address
719 GREEN VALLEY RD, STE 105, GREENSBORO, NC 27408-7022
(336) 230-1010
(336) 230-1019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1653
SC
Other
Enumeration date
07/20/2011
Last updated
05/21/2019
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