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Contact Information

LINDA A WAGGONER FOUNTAIN, MD
1204 W MAIN ST
CHARLOTTESVILLE, VA22903-2824
 Phone: 434-924-0123
 Fax: 434-243-3300
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for LINDA A WAGGONER FOUNTAIN · (Female)

NPI # 1013086651
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 08/28/2019 - About a month ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101048721
  • VA Medicaid 1013086651
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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