Individual
FELICIA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2400 BELLEVUE RD, 18 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 272-5933
Mailing address
2400 BELLEVUE RD, 18 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 272-5933
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
LL32806
SC
Other
Enumeration date
06/23/2010
Last updated
01/18/2017
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