Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRETT P FOUNTAIN, DPT
ActiveDR. BRETT P FOUNTAIN, DPT is a Sports Medicine (PM&R) healthcare provider located in DOUGLASVILLE, Georgia. NPI 1568099414 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · DOUGLASVILLE, GA
Registration Details
- NPI Number
- 1568099414
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2020 (6.4343003449703 yrs)
- Last Updated
- Mar 23, 2020
- License
-
PT013785 (GA)
Practice Information
- Address
-
4586 TIMBER RIDGE DR STE 160DOUGLASVILLE, GA, 301357513Browse GA providers · Browse ZIP 30135
- Phone
- 7709490558
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
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.