Dr FELICIA FOUNTAIN is a female medical professional, specializing in Ophthalmology. She graduated in 2010 from Medical College Of Georgia.
VIDALIA EYE ASSOCIATES INC
700 MAPLE DR
VIDALIA
GA
304747207
Tel: 9125371991
| Npi | 1770894867 |
| Pac Id | 6709004237 |
| Professional Enrollment Id | I20140826000792 |
| Last Name | FOUNTAIN |
| First Name | FELICIA |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 2010 |
| Primary Specialty | OPHTHALMOLOGY |
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| Organization Legal Name | VIDALIA EYE ASSOCIATES INC |
| Group Practice Pac Id | 4981688488 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 700 MAPLE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VIDALIA |
| State | GA |
| Zip Code | 304747207 |
| Phone Number | 9125371991 |
| Hospital Affiliation Ccn 1 | 110125 |
| Hospital Affiliation Lbn 1 | FAIRVIEW PARK HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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