Search › Georgia › 1041C0700X
Victoria Fountain
NPI 1437504966 · on the registry since 2016 · sole proprietor
Practice
- Address
- 47 Lakeland Ct
Powder Springs, GA 30127 - Phone
- (678) 717-7952
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-02-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia