Dr. Brett P Fountain
Sports Medicine
4586 Timber Ridge Dr Ste 160
Douglasville
, Georgia 30135-7513
Dr. Brett P Fountain
Sports Medicine
4586 Timber Ridge Dr Ste 160
Douglasville
, Georgia 30135-7513
(770) 949-0558
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Dr. Brett P Fountain
- 4586 Timber Ridge Dr Ste 160
- Douglasville, GA
- Zip : 30135-7513
- Phone : (770) 949-0558
Second Address
- Dr. Brett P Fountain
- 4586 Timber Ridge Dr Ste 160
- Douglasville, GA
- Zip : 30135-7513
- Phone : (770) 949-0558
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Is Dr. Brett P Fountain a sole practitioner?
Is Dr. Brett P Fountain accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | PT013785 | GA |
| Y | 213ES0000X | Sports Medicine | PT013785 | GA |
National Provider Identifier
| NPI | 1568099414 |
|---|---|
| Provider Name | Dr. Brett P Fountain |
| First Address | Douglasville, GA 30135-7513 |
| Second Address | Douglasville, GA 30135-7513 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/03/2020 |
| Last Update Date | 23/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.