RICHARD JOHN PHILIP FONTIMAYOR

AUGUSTA, GA
NPI1932571676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  7785)
Enumeration Date2015-10-21
Last Update Date2015-10-21
Business Address
Mr. RICHARD JOHN PHILIP FONTIMAYOR PA-C
3651 WHEELER RD
AUGUSTA, GA 30909-6521
Phone number: 706-651-3232
Mailing Address
Mr. RICHARD JOHN PHILIP FONTIMAYOR PA-C
2107 WHITNEY SOUTH DR
AUGUSTA, GA 30904-6552
Phone number: 706-877-1275
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