Individual
DR. EVAN HAMILTON FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 STARLING ST STE 504, BRUNSWICK, GA 31520-4270
(912) 466-5504
Mailing address
PO BOX 1213, BRUNSWICK, GA 31521-1213
(912) 466-5000
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
79733
GA
Other
Enumeration date
06/28/2015
Last updated
01/05/2026
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