NPI | 1124227640 |
---|---|
Doing Business As | CHARLES E FOSTER D C P C |
Entity Type | Organization |
Authorized Contact | CHARLES E FOSTER President 478-474-3883 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: GA 2884) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2022-10-06 |