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Individual

DR. GREGORY ALLEN FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 10TH AVE, COLUMBUS, GA 31901-1513
(706) 571-1120
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 571-1120

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
030062
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
030062
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000461051F
GA
01
080193761
RAILROAD MEDICARE-PALMETT
GA
01
52451176-002
BCBS
GA
Enumeration date
07/19/2006
Last updated
05/17/2012
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