Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 057619 | GA |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 057619 | GA |
NPI | 1578671970 |
---|---|
Provider Name | Dr. Prima R Foster |
First Address | Columbus, GA 31907-5972 |
Second Address | Columbus, GA 31907-5972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/08/2006 |
Last Update Date | 23/10/2021 |