NATHAN BENJAMIN FOUNTAIN

CHARLOTTESVILLE, VA
NPI1629147244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: VA  0101048670)
Enumeration Date2006-11-07
Last Update Date2023-08-09
Business Address
NATHAN BENJAMIN FOUNTAIN
1221 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-2706
Mailing Address
NATHAN BENJAMIN FOUNTAIN
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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