Individual
MRS. CYNTHIA LING FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
205 HART CIR, DALLAS, GA 30132-3703
(404) 863-0108
(770) 445-0994
Mailing address
205 HART CIR, DALLAS, GA 30132-3703
(404) 863-0108
(770) 445-0994
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10051963
AMERIGROUP CMO
GA
Enumeration date
12/15/2006
Last updated
07/08/2007
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