Individual
LAWANDA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5005 IVY COTTAGE LN, AUSTELL, GA 30106-2670
(678) 437-6198
Mailing address
5005 IVY COTTAGE LN, AUSTELL, GA 30106-2670
(678) 437-6198
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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