Individual
DR. ANTHONY C. FOUTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9224
(601) 703-1352
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9224
(601) 703-1352
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08604
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115730
—
MS
05
—
008204810
—
AL
01
—
110050138
RAILROAD MEDICARE
MS
01
—
731-04347
BLUE CROSS OF ALABAMA
AL
Enumeration date
11/23/2005
Last updated
11/06/2013
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