Individual
FLOYD RUDOLPH FOSTER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2217 MT ISLE HARBOR DR, CHARLOTTE, NC 28214-5409
(980) 429-0510
Mailing address
PO BOX 641, IRON STATION, NC 28080-0641
(980) 429-0510
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
5321885
NC
Other
Enumeration date
09/28/2019
Last updated
09/28/2019
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