Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 20270 | NC |
N | 111NI0900X | Internist | 20270 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 20270 | NC |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 20270 | NC |
NPI | 1003814575 |
---|---|
Provider Name | Dr. James Robert Foster |
First Address | Raleigh, NC 27610-1231 |
Second Address | Raleigh, NC 27610-1231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2005 |
Last Update Date | 07/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
89-33285 | (05) | NC |
D32395 | (02) | NC |