Individual
TERRELL ALAN STALLWORTH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
(678) 312-3282
Mailing address
888 JUNIPER ST NE, ATLANTA, GA 30309-4841
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041478075
IL
163W00000X
Registered Nurse
RN9450918
FL
367500000X
Certified Registered Nurse Anesthetist
860293
NV
367500000X
Certified Registered Nurse Anesthetist
Primary
RN336890
GA
Other
Enumeration date
05/05/2022
Last updated
04/24/2026
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