Individual
MARSHALL SHANE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
377 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 884-3563
Mailing address
377 GALLIMORE RD, BREVARD, NC 28712-8874
(828) 884-9030
(828) 884-3563
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
97-00552
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-70986
UNITED HEALTHCARE
NC
01
—
0637660001
PALMETTO GOV. BENEFITS
NC
01
—
080108995
RAILROAD MEDICARE
NC
01
—
1051X
BLUE CROSS BLUE SHIELD
NC
01
—
561852981G
CIGNA
NC
05
—
891051X
—
NC
01
—
NCM978D
MEDICARE PTAN
NC
Enumeration date
10/23/2006
Last updated
01/07/2022
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