TARA JO FOUNTAIN

COLUMBUS, GA
NPI1356895353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN232791)
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
Mrs. TARA JO FOUNTAIN NP-C
2522 WARM SPRINGS RD
COLUMBUS, GA 31904-5640
Phone number: 706-322-9313
Mailing Address
Mrs. TARA JO FOUNTAIN NP-C
2522 WARM SPRINGS RD
COLUMBUS, GA 31904-5640
Phone number: 706-322-9313
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