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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN EDWIN FOUNTAIN, MD

Active

JONATHAN EDWIN FOUNTAIN, MD is a Family Medicine healthcare provider located in CARRABELLE, Florida. NPI 1356334049 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CARRABELLE, FL

Registration Details

NPI Number
1356334049
Provider Type
Individual
Gender
Male
NPI Issued
Aug 26, 2005 (20.96257287173 yrs)
Last Updated
Nov 27, 2015
License
ME0050330 (FL)

Practice Information

Address
110 NE 5TH ST
CARRABELLE, FL, 323223529
Browse FL providers · Browse ZIP 32322
Phone
8506538853
Fax
8506531897
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in CARRABELLE, FL

Name Credential NPI
DR. LIONEL B CATLIN MD 1669491536
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.