Individual
NATASHA NOELLE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2930 CHESTERFIELD AVE, CHARLESTON, WV 25304-1125
(304) 351-1700
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D78015
MD
207RG0100X
Gastroenterology Physician
Primary
0101271745
VA
207RG0100X
Gastroenterology Physician
D78015
MD
207RG0100X
Gastroenterology Physician
MD042469
DC
207RG0100X
Gastroenterology Physician
MD457534
PA
Other
Enumeration date
04/04/2008
Last updated
05/07/2026
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