Individual
KONSTANTINOS FOUNTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-7320
Mailing address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-7320
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
76112
GA
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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