KIMBERLY TERESA FOUNTAIN

AUGUSTA, GA
NPI1740419688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: TN  207R0000X)
Enumeration Date2009-07-14
Last Update Date2015-07-07
Business Address
-- KIMBERLY TERESA FOUNTAIN MD,MS
GRU 1120 15TH STREET
AUGUSTA, GA 30912-0001
Phone number: 706-834-0190
Mailing Address
-- KIMBERLY TERESA FOUNTAIN MD,MS
450 RAILROAD AVE STE 1-D
NORTH AUGUSTA, SC 29841-3782
Phone number: 801-671-0933
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