Provider Demographics
NPI:1154680403
Name:FONTRIER, TOINETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:TOINETTE
Middle Name:
Last Name:FONTRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8220 WHITEWATER DR
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-9184
Mailing Address - Country:US
Mailing Address - Phone:336-766-4321
Mailing Address - Fax:
Practice Address - Street 1:8220 WHITEWATER DR
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-9184
Practice Address - Country:US
Practice Address - Phone:336-766-4321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC27045207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology