Individual provider · Type 1 NPI

John A. Fountain, MD

Dermatology Physician · Conyers, GA

NPI number 1629076906 Active

Practice location

1349 Milstead Rd NE
Conyers, GA 30012-3871

Fax (770) 760-9504

Mailing address

2400 Bellevue Rd, Suite 21-A
Dublin, GA 31021-2885

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X021688 (GA)
MOHS-Micrographic Surgery Physician 207ND0101X021688 (GA)
Pediatric Dermatology Physician 207NP0225X021688 (GA)
Procedural Dermatology Physician 207NS0135X021688 (GA)
General Practice Physician 208D00000X021688 (GA)
Dermatopathology Physician 207ND0900X021688 (GA)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1629076906

John A. Fountain, MD's National Provider Identifier is 1629076906, issued on Jul 12, 2005. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Conyers, GA. The record was last updated on Apr 23, 2015.