Individual
DR. JOEL ROBERT FOUNTAIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 TAYLOR DR, FORSYTH, GA 31029-8505
(478) 954-2188
Mailing address
411 TAYLOR DR, FORSYTH, GA 31029-8505
(478) 954-2188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
020703
GA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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