DR. John A. Fountain, M.D.

NPI #1629076906 in Conyers, Georgia

Provider Information

NPI Number: 1629076906
Entity Type: Individual
Name: DR. John A. Fountain, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: M.D.
Enumeration Date: Jul 12, 2005
Last Updated: Apr 23, 2015

Practice Location

Address: 1349 MILSTEAD RD NE
City: Conyers
State: Georgia
ZIP Code: 30012-3871
Phone: (770) 922-1716

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology - Pediatric Dermatology — Pediatric Dermatology	207NP0225X
Dermatology - Procedural Dermatology — Procedural Dermatology	207NS0135X
General Practice	208D00000X
Dermatology - Dermatopathology — Dermatopathology	207ND0900X

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Organizations

Provider Name	Specialty	City
Super Dermatology LLC	Dermatology	Conyers	AI Deep Dive

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