Organization
FOUNTAIN HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA WATTS THOMAS (PRACTICE ADMINISTRATOR)
(301) 698-5050
Entity
Organization
Contact information
Practice address
15 W 7TH ST, FREDERICK, MD 21701-4501
(301) 698-5050
(301) 698-4652
Mailing address
15 W 7TH ST, FREDERICK, MD 21701-4501
(301) 698-5050
(301) 698-4652
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0037197
MD
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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