Individual
JERRICA FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HAWKEN TRL, MCDONOUGH, GA 30253-1911
(678) 557-8598
Mailing address
301 HAWKEN TRL, MCDONOUGH, GA 30253-1911
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279573
GA
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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