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Gregory Todd Fountain, MD
Obstetrics & Gynecology Physician in Lawrenceville, Georgia
NPI 1366456964

Gregory Todd Fountain is a Obstetrics & Gynecology Physician based in Lawrenceville, GA. Gregory Todd Fountain practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Gregory Todd Fountain is 1366456964 and holds a License No. 034593 (Georgia).

The current practice location address for Gregory Todd Fountain is 766 Walther Rd, Lawrenceville, GA and can be reached out via phone at 678-985-8001.

Location: 766 Walther Rd, Lawrenceville, GA, 30046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366456964
Provider Name
Gregory Todd Fountain
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
766 Walther Rd, Lawrenceville, GA, 30046
Phone Number
678-985-8001
Fax Number
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
314606 01 GA WELLCARE
10045970 01 GA AMERIGROUP
00509594E 05 GA
institution
Provider Business Practice Location Address Details
Address
766 Walther Rd
City
Lawrenceville
State
Georgia
Zip
30046-8764
Phone Number
678-985-8001
Fax Number
person
Provider Business Mailing Address Details
Address
766 Walther Rd
City
Lawrenceville
State
Georgia
Zip
30046-8764
Phone Number
678-985-8001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
034593 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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