Jonathan Edwin Fountain, MD

NPI #1356334049 in Carrabelle, Florida

Provider Information

NPI Number: 1356334049
Entity Type: Individual
Name: Jonathan Edwin Fountain, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Aug 26, 2005
Last Updated: Nov 27, 2015

Practice Location

Address: 110 NE 5TH ST
City: Carrabelle
State: Florida
ZIP Code: 32322-3529
Phone: (850) 653-8853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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