Fountain, Brett P

Fountain, Brett P is an individual health care provider with primary practice located at 4586 Timber Ridge Dr Ste 160 , Douglasville GA 30135-7513. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Fountain, Brett P can be contacted via phone (770) 949-0558.

Contact Information

Primary practice address
4586 Timber Ridge Dr Ste 160 Douglasville GA 30135-7513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X PT013785 Georgia

Profile Details

NPI number 1568099414
LBN Legal business name Fountain, Brett P
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated Mar 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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