SHAWN LEWIS FOUNTAIN

CHARLOTTE, NC
NPI1033995998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NC  5018771)
Enumeration Date2023-09-06
Last Update Date2023-09-06
Business Address
Mr. SHAWN LEWIS FOUNTAIN FNP-C
1614 SOUTH BLVD
CHARLOTTE, NC 28203-4726
Phone number: 704-338-1268
Mailing Address
Mr. SHAWN LEWIS FOUNTAIN FNP-C
1614 SOUTH BLVD
CHARLOTTE, NC 28203-4726
Phone number: 704-338-1268
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