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Individual
MARSHALL SHANE FOSTER
Active
Individual
MARSHALL SHANE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-00552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-70986
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOV. BENEFITS
NC
01
—
080108995
RAILROAD MEDICARE
NC
01
—
1051X
BLUE CROSS BLUE SHIELD
NC
01
—
561852981G
CIGNA
NC
05
—
891051X
—
NC
01
—
NCM978D
MEDICARE PTAN
NC
Enumeration date
10/23/2006
Last updated
01/07/2022
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