Dr David Fontaine, MD | |
1061 Harmon Ave, Fort Stewart, GA 31314 | |
(912) 435-6965 | |
Not Available |
Full Name | Dr David Fontaine |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861523409 | NPI | - | NPPES |
H8640 | Other | TX | PHYSICIAN PERMIT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | H8640 (Texas) | Primary |
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Dr David Fontaine, MD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Dr David Fontaine, MD 1061 Harmon Ave, Fort Stewart, GA 31314 Ph: (912) 435-6965 |
Dr. Richard Eden Kauff, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-5555 | |
Dr. Matthew James Fults, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5687 | |
Jose A Hernandez, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-6819 | |
Dr. Tometricia Brown, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Benjamin Jack, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Dr. Charity Omejiyovbi Akpolo, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-5555 Fax: 912-435-5954 | |
German Rene Gonzalez Ramos, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Avenue, Fort Stewart, GA 31314 Phone: 912-435-5555 |