Individual
CARLA ELIZABETH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4615 HUNTRIDGE RD, ROANOKE, VA 24012-8510
(540) 977-0900
(540) 977-0550
Mailing address
4615 HUNTRIDGE RD., ROANOKE, VA 24012
(540) 977-0900
(540) 977-0550
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110002935
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598901464
—
VA
Enumeration date
12/26/2008
Last updated
03/02/2011
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