JOSHUA SHANE FOUNTAIN

ATLANTA, GA
NPI1831855865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: GA  RN247882)
Enumeration Date2021-11-15
Last Update Date2022-02-08
Business Address
JOSHUA SHANE FOUNTAIN
80 JESSE HILL JR DR SE
ATLANTA, GA 30303-3031
Phone number: 404-616-1000
Mailing Address
JOSHUA SHANE FOUNTAIN
934 GARIBALDI ST SW
ATLANTA, GA 30310-3134
Phone number: 470-967-4841
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