Individual
DANIELLE MARIE FONTAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 MALCOLM BLVD, CONNELLY SPRINGS, NC 28612-8079
(828) 580-3572
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
(984) 974-2705
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2019-00201
NC
208600000X
Surgery Physician
2022031705
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2016
Last updated
03/04/2024
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