Individual
BEVERLY CATHENE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001183
GA
367H00000X
Anesthesiologist Assistant
Primary
001183
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206032815A
—
GA
05
—
491431789A
—
GA
Enumeration date
11/19/2005
Last updated
12/09/2022
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