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Organization
JOSEPH G FOUST MD LLC
Active
Organization
JOSEPH G FOUST MD LLC
Active
Parent organization
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEAST REGIONAL PRIMARY CARE CORPORATION
Authorized official
MR. TONY M OSTEEN (CFO)
(912) 537-5314
Entity
Organization
Contact information
Practice address
1811 EDWINA DR, VIDALIA, GA 30474-8963
(912) 537-9779
(912) 538-5529
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 537-9779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
06/12/2014
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