Individual
GARY CLINTON FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
551 STELLA RUTH RD, MARTIN, TN 38237-8503
(731) 796-5900
Mailing address
551 STELLA RUTH RD, MARTIN, TN 38237-8503
(731) 796-5900
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
28915
TN
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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