GREGORY TODD FOUNTAIN

LAWRENCEVILLE, GA
NPI1366456964
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  034593)
Enumeration Date2006-07-28
Last Update Date2022-08-17
Business Address
GREGORY TODD FOUNTAIN MD
766 WALTHER RD SUITE 100
LAWRENCEVILLE, GA 30046-8764
Phone number: 678-985-8001
Mailing Address
GREGORY TODD FOUNTAIN MD
766 WALTHER ROAD SUITE 100
LAWRENCEVILLE, GA 30046
Phone number: 678-985-8001
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