NPI 1568099414

Brett P Fountain, DPT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Douglasville, GA

Practice location

Address: 4586 Timber Ridge Dr STE 160, Douglasville, GA 30135-7513
Phone: (770) 949-0558

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence PT013785 (GA)

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1568099414
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Mar 2020
Record last updated: 23 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.