Georgia
Composite Medical Board
FOUNTAIN, CHIP HAYWARD, MD
Medical - Physician
License number
065241
Date granted
10/08/2010
Date expires
07/31/2012
Class
Medical - Physician
Status
Inactive
Address
3100 MARGAVERA TERRACE
georgiadoctors.net
ID 38043203
LAST UPDATED 2024-02-26 00:25:25 UTC
LAST UPDATED 2024-02-26 00:25:25 UTC
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