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Individual

MRS. CORY JO FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1330 BOILING SPRINGS RD STE 2500, SPARTANBURG, SC 29303-4214
(864) 585-5433
(864) 591-4053
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
105809
SC
363L00000X
Nurse Practitioner
22246
SC
363LF0000X
Family Nurse Practitioner
Primary
22246
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP5743
SC
01
SCE4935019
MEDICARE PIN
SC
01
SCE4936084
MEDICARE PIN
SC
01
SCE493J577
MEDICARE PIN
SC
Enumeration date
12/21/2012
Last updated
01/19/2023
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