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Individual

MR. TOMMY GENE FOSTER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED ORTHOTIST

Contact information

Practice address
2737 HIGHWAY 280 S, SUITE 141, MOUNTAIN BROOK, AL 35223-2466
(205) 870-9961
(205) 870-9908
Mailing address
2737 HIGHWAY 280 S, SUITE 141, MOUNTAIN BROOK, AL 35223-2466
(205) 870-9961
(205) 870-9908

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
151
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
151
STATE LICENSE NUMBER
AL
Enumeration date
10/31/2005
Last updated
07/08/2007
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