Individual
MRS. SHENITA ANN FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12258 MOLLY SUE LN, FAYETTEVILLE, GA 30215-8060
(336) 989-2555
Mailing address
12258 MOLLY SUE LN, FAYETTEVILLE, GA 30215-8060
(336) 989-2555
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN207521
GA
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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