Individual
DR. NADINE SONJA HALLIBURTON-FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2575 PEACHTREE PKWY STE 100, CUMMING, GA 30041
(770) 888-8777
(770) 888-8779
Mailing address
2575 PEACHTREE PKWY STE 100, CUMMING, GA 30041-7562
(770) 888-8777
(770) 888-8779
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
060079
GA
207Q00000X
Family Medicine Physician
27038
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237071919A
—
GA
Enumeration date
07/08/2006
Last updated
07/05/2018
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