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Contact Information

TIMOTHY P FONTAINE, MD
719 GREEN VALLEY ROAD
SUITE 305
GREENSBORO, NC27408
 Phone: 336-275-5391
 Fax: 336-275-4702
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for TIMOTHY P FONTAINE · (Male)

NPI # 1093828410
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 11/29/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 38336
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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