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Individual

DESHAWN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7350
(678) 782-7272
Mailing address
321 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30312-2546

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
GA

Other

Enumeration date
09/16/2025
Last updated
09/16/2025
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