Individual
DR. PHILIP ANDRE FONTENOT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 BEAR DR, GREENVILLE, SC 29605
(864) 295-2131
Mailing address
50 BEAR DR, GREENVILLE, SC 29605-4458
(864) 295-2131
(864) 269-8035
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
51583
SC
Other
Enumeration date
05/21/2013
Last updated
06/28/2018
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