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Individual

DR. BRETT P FOUNTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
4586 TIMBER RIDGE DR STE 160, DOUGLASVILLE, GA 30135-7513
(770) 949-0558
Mailing address
4586 TIMBER RIDGE DR STE 160, DOUGLASVILLE, GA 30135-7513
(770) 949-0558

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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