SearchTennessee208G00000X

Fontaine Hill

NPI 1629257043 · on the registry since 2007 · sole proprietor

Practice

Address
16 Colonel Winstead Dr
Brentwood, TN 37027
Phone
(615) 776-5256
Fax
(615) 776-7208

Registry record

Primary taxonomy
208G00000X
208G00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-01

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 Tennessee