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

MR. RICHARD JOHN PHILIP FONTIMAYOR, PA-C

Active Sole Proprietor

MR. RICHARD JOHN PHILIP FONTIMAYOR, PA-C is a Physician Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1932571676 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AUGUSTA, GA

Registration Details

NPI Number
1932571676
Provider Type
Individual
Gender
Male
NPI Issued
Oct 21, 2015 (10.798021048517 yrs)
Last Updated
Oct 21, 2015
License
7785 (GA)
Sole Proprietor
Yes

Practice Information

Address
3651 WHEELER RD
AUGUSTA, GA, 309096521
Browse GA providers · Browse ZIP 30909
Phone
7066513232
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AUGUSTA, GA

Name Credential NPI
JERRIE D FREEMAN PA 1275535437
HEATHER D REGER PA-C 1659364354
MRS. FLOR MARITZA LLISO P.A. 1346222569
MR. PAUL L COFFMAN P.A.-C 1437126075
M. LEIGH RYAN P.A.-C. 1831158658
MR. STEVEN JOHN SOLUM P.A. 1891755724
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.