| NPI | 1598389173 |
|---|---|
| Doing Business As | FOUNTAIN MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | CHIMA OSUOHA President/CEO 205-249-8491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-05-30 |
| Last Update Date | 2020-06-05 |