DR. ARTHUR JACKSON FOUNTAIN MD NPI 1679537062

NPI Information

NPI: 1679537062
Provider Name: DR. ARTHUR JACKSON FOUNTAIN, MD
Classification: Radiology - 2085N0700X
Entity Type: Individual

Specialization: Neuroradiology

Address:
1364 CLIFTON RD NE
DEPT OF RADIOLOGY
ATLANTA, GA
ZIP 30322
Phone: (404) 712-4583
Get Directions

DR. Arthur Jackson Fountain, MD is a neuroradiology radiology in Atlanta, GA. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Arthur Jackson Fountain, MD NPI is 1679537062. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1364 CLIFTON RD NE
DEPT OF RADIOLOGY
ATLANTA, GA
ZIP 30322-059
Phone: (404) 712-4583
Fax: (404) 712-0293

The enumeration date for this NPI number is 4/13/2006 and was last updated on 10/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085N0700X	Radiology	Neuroradiology	023954	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	30BDHCR	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA
2	C74440	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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