Individual
DR. D. TERRENCE FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5086
(678) 284-4000
(678) 284-6500
Mailing address
PO BOX 824, MORROW, GA 30260-0824
(678) 284-4000
(678) 284-6500
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
49232
GA
208VP0000X
Pain Medicine Physician
49232
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
49232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00883154B
—
GA
Enumeration date
08/25/2005
Last updated
02/09/2015
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