Search › North Carolina › 363LA2200X
Madison Fountain, DNP, AGNP-C
NPI 1700590734 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3200 Northline Ave Ste 250
Greensboro, NC 27408 - Phone
- (336) 689-0669
- Organisation at this address
- Monarch
Heartwings Hights
Emergeortho, P.A.
Genoa Healthcare Llc
Central Carolina Ob/GynInferred from a shared address, not stated in the registry. - Clinicians at this address
- 138
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363L00000X
363LS0200X - Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-02
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 North Carolina