Individual
DR. JAMIE L FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
40894 HIGHWAY 12, HEALTHEAST OUTER BANKS MEDICAL CENTER, AVON, NC 27915
(252) 995-3073
Mailing address
40894 HIGHWAY 12, PO BOX 975, AVON, NC 27915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C7-0003227
DE
208000000X
Pediatrics Physician
C7-0003227
DE
Other
Enumeration date
03/07/2007
Last updated
05/22/2009
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