Search › Ohio › 3747P1801X
Jack Fountain
NPI 1831347129 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2232 Times Ave Sw
Canton, OH 44706 - Phone
- (330) 412-7963
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Sex
- Male
- Record last updated
- 2008-08-29
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 Ohio