Mr Madison Lee Fountain, | |
4406 Hopewell Church Rd, Trinity, NC 27370-7348 | |
(336) 689-0669 | |
Not Available |
Full Name | Mr Madison Lee Fountain |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - School |
Location | 4406 Hopewell Church Rd, Trinity, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700590734 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LS0200X | Nurse Practitioner - School | 304292 (North Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Madison Lee Fountain, 4406 Hopewell Church Rd, Trinity, NC 27370-7348 Ph: (336) 689-0669 | Mr Madison Lee Fountain, 4406 Hopewell Church Rd, Trinity, NC 27370-7348 Ph: (336) 689-0669 |
Julie Rose Barr, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2942 Clear Ridge Dr, Trinity, NC 27370 Phone: 336-446-1141 Fax: 336-446-0346 | |
Tosha Medlin Briles, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3942 Shadydale Acres Ln, Trinity, NC 27370 Phone: 336-596-0204 |