Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 25568 | SC |
Y | 2084N0402X | Child Neurologist | 25568 | SC |
NPI | 1396763520 |
---|---|
Provider Name | Emily Turner Foster |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-3593 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 12/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
255681 | (05) | SC |