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

MR. JACK FOUNTAIN III

Active Sole Proprietor

MR. JACK FOUNTAIN III is a Foot & Ankle Surgery healthcare provider located in CANTON, Ohio. NPI 1831347129 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery · CANTON, OH

Registration Details

NPI Number
1831347129
Provider Type
Individual
Gender
Male
NPI Issued
Aug 29, 2008 (17.772725356654 yrs)
Last Updated
Aug 29, 2008
Sole Proprietor
Yes

Practice Information

Address
2232 TIMES AVE SW
CANTON, OH, 447062116
Browse OH providers · Browse ZIP 44706
Phone
3304127963
Primary Specialty
Foot & Ankle Surgery
3747P1801X

Other Foot & Ankle Surgery Providers in CANTON, OH

Name Credential NPI
TONYA R VARNER 1679713531
KIRK WADE GRUBER 1770710345
MRS. KAREN FONTES 1063879401
CONSTANCE GILMER 1447602677
NAJAH MCGHEE 1619411402
THERESA A JACKSON RN BSN 1144767906
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.