Individual
MR. JOHN EDWARD FOUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ABC CPO, CPED
Contact information
Practice address
234 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712
Mailing address
234 OWEN DRIVE, FAYETTEVILLE, NC 28304
(910) 323-9016
(910) 486-8712
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPED0222
NC
222Z00000X
Orthotist
CPO 02170
NC
224P00000X
Prosthetist
Primary
CPO 02170
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7795108
—
NC
05
—
7795118
—
NC
Enumeration date
08/29/2006
Last updated
04/26/2011
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