Individual
MIKEL K FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1660 SEA OATS DR, ATLANTIC BEACH, FL 32233-5836
(912) 660-3512
Mailing address
1660 SEA OATS DR, ATLANTIC BEACH, FL 32233-5836
(912) 660-3512
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
31758
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN180100
GA
Other
Enumeration date
08/31/2006
Last updated
08/16/2022
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