Individual
MR. JACK MARLOW FOSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2161 BYLER RD, MOULTON, AL 35650-1460
(256) 221-2640
Mailing address
2161 BYLER RD, MOULTON, AL 35650-1460
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
AL
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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