Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. RAETTA B FOUNTAIN, MD
ActiveMRS. RAETTA B FOUNTAIN, MD is a Gastroenterology healthcare provider located in GREENVILLE, North Carolina. NPI 1487643854 is currently active in the NPPES registry. Verify at CMS.
Gastroenterology · GREENVILLE, NC
Registration Details
- NPI Number
- 1487643854
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 19, 2005 (20.803048092609 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
00025122 (AL)9400570 (NC)
Practice Information
- Address
-
2465 EMERALD PLACEGREENVILLE, NC, 278345785Browse NC providers · Browse ZIP 27834
- Phone
- 2527582424
- Fax
- 2527580424
- Primary Specialty
-
Gastroenterology
207RG0100X
- Additional Specialty
- Gastroenterology
Other Gastroenterology Providers in GREENVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| DR. MARK DELLASEGA | MD | 1932102050 |
| PETER STEIN | M.D. | 1265437636 |
| MAHFUZUL HAQUE | MD | 1063404911 |
| DR. JACK CECIL COLE | DO | 1477549376 |
| DR. STEFANO PABLO MARCUARD | MD | 1548245202 |
| STEVEN MICHAEL DANDALIDES | M.D. | 1679558472 |
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.