Dr. Evan Hamilton Fountain, M.D.
Internal Medicine, Pulmonary Disease in Brunswick, GA. Individual provider (NPI-1).
NPI number1588046320
StatusActive
Last updated in NPPESJan 5, 2026
Details
- NPI
- 1588046320
- Entity type
- Individual (NPI-1)
- Name
- Dr. Evan Hamilton Fountain
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 28, 2015
- Certification date
- Jan 5, 2026
- Last updated
- Jan 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 79733 | GA | Yes |
Practice location
2500 Starling St Ste 504Brunswick, GA 31520-4270
Phone 912-466-5504
Mailing address
Po Box 1213Brunswick, GA 31521-1213
Phone 912-466-5000
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