Waggoner Fountain, Linda A.

Waggoner Fountain, Linda A. is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22903-2824. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases. Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases is her primary health care specialty. Waggoner Fountain, Linda A. can be contacted via phone (434) 924-0123.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22903-2824
Phone: (434) 924-0123
Fax: (434) 243-3300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101048721 Virginia
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X 0101048721 Virginia

Profile Details

NPI number 1013086651
LBN Legal business name Waggoner Fountain, Linda A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Aug 10th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1013086651 NPPES
Virginia MEDICAID 1013086651

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